2023-05-12T15:57:47-05:00 2022-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2021-07-01 030594291 899 CHARLESTON 899C 6504333600 899 EAST CHARLESTON ROAD PALO ALTO CA 94303 BEN CHAIKA CHIEF FINANCIAL OFFICER 6504333600 2023-05-11 1 BEN CHAIKA 999009999 MICHAEL LUMSDEN P01262236 4159561500 2023-05-11 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MOLDAW RESIDENCES ELYSE GERSON 899 EAST CHARLESTON ROAD PALO ALTO CA 94303 14361135 0 X WWW.MOLDAW.ORG X 2006 CA TO PROVIDE RESIDENTIAL FACILITIES DESIGNATED TO MEET THE NEEDS OF AGED PERSONS AND ADDRESS THE WELL-BEING OF THE RESIDENTS. 16 16 207 20 0 0 1194872 127526 15604879 14106626 59228 69089 158917 57894 17017896 14361135 0 0 0 0 5626825 7016844 0 0 205008 13239925 12635882 18866750 19652726 -1848854 -5291591 143487864 136462765 189407227 187823643 -45919363 -51360878 X WE SUPPORT THE HIGHEST LEVEL OF INDEPENDENCE FOR EACH INDIVIDUAL BY PROMOTING THE PURSUIT OF A HEALTHFUL LIFESTYLE AND COMMUNITY INVOLVEMENT ON OUR MULTI-GENERATIONAL CAMPUS. WE SEEK TO PRESERVE JEWISH COMMUNITY VALUES AND TRADITIONS, WHILE SERVING THE DIVERSE CULTURES AND BACKGROUNDS OF THE ENTIRE PENINSULA REGION IN OFFERING A COMPLETELY UNIQUE RETIREMENT OPTION - "UNRETIREMENT!". 0 0 16478860 0 14106626 DURING THE FISCAL YEAR, 899 CHARLESTON DBA MOLDAW RESIDENCES OPERATED A 193-UNIT CONTINUING CARE RETIREMENT COMMUNITY, INCLUDING 170 UNITS FOR INDEPENDENT LIVING, 12 FOR ASSISTED LIVING, AND 11 UNITS FOR SPECIALIZED MEMORY SUPPORT. IT PROVIDED MEDICAL AND WELLNESS SERVICES, MEALS, HOUSEKEEPING SERVICES, ACTIVITIES, AND TRANSPORTATION FOR THE RESIDENTS. THERE WAS AN AVERAGE OF 191 RESIDENTS DURING THE FISCAL YEAR. 16478860 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 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 0 0 0 1 28 0 1 207 1 0 0 0 0 0 0 0 0 0 1 0 0 0 X 16 16 0 1 1 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X BEN CHAIKA 6504333600 899 CHARLESTON ROAD PALO ALTO CA 94303 X LARRY MARKS CO-CHAIR 1.00 0.00 X X 0 0 0 DAVID STEIRMAN CO-CHAIR 1.00 0.00 X X 0 0 0 EFRAT KAZNIK TRUSTEE/TREASURER 1.00 0.00 X X 0 0 0 MARLENE LEVENSON TRUSTEE/SECRETARY 1.00 0.00 X X 0 0 0 NORM BERKMAN TRUSTEE 1.00 0.00 X 0 0 0 ELLEN BROWN MD TRUSTEE THROUGH 12/2021 1.00 0.00 X 0 0 0 RITA GHATAK TRUSTEE 1.00 0.00 X 0 0 0 TONY KLEIN TRUSTEE 1.00 0.00 X 0 0 0 CAROLE KUSHNIR TRUSTEE 1.00 0.00 X 0 0 0 NICOLE LANCE TRUSTEE 1.00 0.00 X 0 0 0 STEVE MONOSSON TRUSTEE 1.00 0.00 X 0 0 0 CAROL ROBERTS TRUSTEE 1.00 0.00 X 0 0 0 GINA ROSENFIELD TRUSTEE 1.00 0.00 X 0 0 0 NANCY ROSSEN TRUSTEE 1.00 0.00 X 0 0 0 ALEX ROZENFELD TRUSTEE 1.00 0.00 X 0 0 0 RIC RUDMAN TRUSTEE 1.00 0.00 X 0 0 0 JEFFREY SOSNICK TRUSTEE 1.00 0.00 X 0 0 0 ELYSE GERSON EXECUTIVE DIRECTOR 40.00 0.00 X 283182 0 34502 MARY CONNICK CFO THROUGH 10/2021 6.00 4.00 X 0 357138 9801 BENJAMIN CHAIKA CFO START 2/2022 30.00 0.00 X 0 113904 2004 MICHAEL SKAFF COO THROUGH 10/2021 5.00 5.00 X 0 377219 17634 ALLAIN BERNABE EXECUTIVE CHEF 40.00 0.00 X 135432 0 30444 ARIELLE HENDEL FUND DEVELOPMENT DIRECTOR 40.00 0.00 X 135757 0 38146 JUAN LOPEZ PLANT OPERATIONS DIRECTOR 40.00 0.00 X 119191 0 33812 KAREN LERNER HEALTH & WELLNESS DIRECTOR 40.00 0.00 X 111804 0 29492 SHERRIE KOSHOVER FORMER CHIEF ADVANCEMENT OFFICER 0.00 0.00 X 0 121044 22887 785366 969305 218722 8 1 1 1 BUILD GROUP INC 405 14TH STREET SUITE 900 OAKLAND CA 94612 GENERAL CONTRACTOR 1353054 DATAVIZION LLC 5760 CORNHUSKER HWY 3 LINCOLN NE 68507 IT SERVICES 470764 LIFE CARE SERVICES LLC 400 LOCUST ST SUITE 820 DES MOINES IA 50309 MANAGEMENT/ADMINISTRATIVE SERVICES 430223 ALL ABOUT PARKING 100 S ELLSWORTH AVENUE SUITE 203 SAN MATEO CA 94401 VALET PARKING SERVICES 332971 SERVPRO OF PALO ALTO 2625 MIDDLEFIELD RD SUITE 557 PALO ALTO CA 94306 REMEDIATION SERVICES 287612 12 127526 20365 127526 RESIDENT FEES 623000 11947650 11947650 AMORT OF ENTRANCE FEES 623000 2088845 2088845 OTHER OPERATING REV 623000 70131 70131 14106626 69089 69089 22578 0 22578 22578 22578 REIMBURSEMENTS 900099 35316 35316 35316 14361135 14106626 0 126983 447661 447661 5221987 4814092 273647 134248 43284 41019 1441 824 897969 739008 144121 14840 405943 315956 83642 6345 795246 795246 147204 147204 134201 134201 567838 506777 61061 291698 291698 16680 16680 180052 180052 1252430 1096299 154350 1781 59669 32367 27302 7243 7243 3226751 3226751 3562817 3525064 37753 395492 395492 FOOD COSTS 826970 826970 SUPPLIES 298390 263327 35063 PROFESSIONAL DUES/FEES 188735 181187 7548 AMORT OF LOAN FEES 53096 53096 631370 558006 64147 9217 19652726 16478860 2968858 205008 1343175 1659128 26341680 24535702 389241 342558 4545 5244 22492 22492 468011 160786 153171646 52331082 103162232 100840564 1606155 0 10150333 8896291 143487864 136462765 2295231 1121270 7199324 7351928 65166344 64186285 114746328 115164160 189407227 187823643 X -55579098 -59841564 9659735 8480686 -45919363 -51360878 143487864 136462765 X -5291591 -120911 -29013 X 0 1 X 1 0 X 26789 350498 110322 1194872 127526 1810007 15920061 15763100 16206917 15604879 14106626 77601583 15946850 16113598 16317239 16799751 14234152 79411590 9500 20530 71071 243762 71788 416651 0 9500 20530 71071 243762 71788 416651 78994939 145183 242764 274775 59228 91667 813617 145183 242764 274775 59228 91667 813617 140150 158917 35316 334383 16092033 16356362 16732164 17017896 14361135 80559590 0.98060 0.98050 0.01010 0.01040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REIMBURSEMENTS - 2019 AMOUNT: $ 140,150. 2020 AMOUNT: $ 158,917. 2021 AMOUNT: $ 35,316. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9501395 -1144737 136612 8220046 8088314 1523780 110699 9501395 7745850 342464 8088314 7403415 342435 7745850 6994719 408696 7403415 0.00000 0.57352 0.42648 0 0 13118538 13118538 128134304 44306451 83827853 9418972 7440392 1978580 2499832 584239 1915593 100840564 BENEFICIAL INTEREST IN JHSLF 8221046 DEPOSITS HELD BY HOME OWNERS ASSOCIATION 639929 DUE FROM AFFILIATED ORGANIZATION 35316 8896291 REFUNDABLE DEPOSITS 734752 REFUNDABLE ENTRANCE FEES 109748841 LOAN PAYABLE TO JHSLF 4675265 DUE TO AFFILIATED ORGANIZATIONS 5302 115164160 X 14211211 -120911 -29013 -149924 14361135 0 14361135 19652726 0 19652726 0 19652726 PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROVIDE SUPPORT FOR RESIDENTS OF MOLDAW RESIDENCES OR ACCEPTED APPLICANTS WHO CANNOT AFFORD A PORTION OF EITHER THE ENTRY FEE OR THE CONTINUING MONTHLY COSTS, AND INCLUDES ACCUMULATED EARNINGS THEREON THAT HAVE NOT YET BEEN EXPENDED. PART X, LINE 2: U.S. GAAP REQUIRES THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAX AUTHORITY. THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN. THEREFORE, NO LIABILITY HAS BEEN RECORDED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN JHSLF -1,144,737. CHANGE IN FUTURE SERVICE BENEFIT OBLIGATION 1,115,724. X 0 1 0 0 0 0 0 0 0 MICHAEL SKAFF COO THROUGH 10/2021 0 377119 0 100 0 0 0 8700 0 8934 0 394853 0 0 MARY CONNICK CFO THROUGH 10/2021 0 357038 0 100 0 0 0 8700 0 1101 0 366939 0 0 ELYSE GERSON EXECUTIVE DIRECTOR 283182 0 0 0 0 0 7034 0 27468 0 317684 0 0 0 ARIELLE HENDEL FUND DEVELOPMENT DIRECTOR 135757 0 0 0 0 0 3923 0 34223 0 173903 0 0 0 ALLAIN BERNABE EXECUTIVE CHEF 135432 0 0 0 0 0 475 0 29969 0 165876 0 0 0 JUAN LOPEZ PLANT OPERATIONS DIRECTOR 119191 0 0 0 0 0 1140 0 32672 0 153003 0 0 0 SHERRIE KOSHOVER FORMER CHIEF ADVANCEMENT OFFICER 0 41493 0 0 0 79551 0 22864 0 23 0 143931 0 0 KAREN LERNER HEALTH & WELLNESS DIRECTOR 111804 0 0 0 0 0 0 0 29492 0 141296 0 0 0 PART I, LINE 4B DURING THE 2021 CALENDAR YEAR, SHERIE KOSHOVER WAS A PARTICIPANT IN A SUPPLEMENTAL 457(F) PLAN SPONSORED BY JEWISH SENIOR LIVING GROUP, A RELATED ORGANIZATION (THROUGH OCTOBER 2021). THERE WERE NO EMPLOYER CONTRIBUTIONS TO THE 457(F) PLAN DURING THE 2021 CALENDAR YEAR, NOR WERE THERE ANY AMOUNTS REQUIRED TO BE REPORTED AS TAXABLE COMPENSATION DUE TO VESTING OF THE 457(F) PLAN. FORM 990, PART VII, SECTION A, LINE 5: EFFECTIVE OCTOBER 2021, THE ORGANIZATION TRANSITIONED FROM HAVING ITS OWN PAYROLL TO HAVING ITS PAYROLL PROCESSED THROUGH LIFE CARE SERVICES (WHO THEREAFTER, ISSUED THE W-2S), THE ORGANIZATION'S MANAGEMENT COMPANY. COMPENSATION APPEARING ON FORM 990, PART VII AND SCHEDULE J, PART II FOR ELYSE GERSON, ARIELLE HENDEL, ALLAIN BERNABE, JUAN LOPEZ, AND KAREN LERNER REPRESENTS THE COMBINED AMOUNTS OF COMPENSATION BOTH FROM THE ORGANIZATION ITSELF AS WELL THAT FROM LIFE CARE SERVICES FOR THE 2021 CALENDAR YEAR. A CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY 680164610 2014-11-20 81435953 REFINANCING OF EXISTING BOND AND TERM LOAN DEBT 0 0 0 A 5925000 81435953 4421821 1448074 75566058 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/06/2019 FORM 990, PART VI, SECTION A, LINE 3 THROUGH OCTOBER 2021, THE ORGANIZATION PAID A MANAGEMENT FEE TO JEWISH SENIOR LIVING GROUP, A RELATED ORGANIZATION (UNTIL OCTOBER 2021) WHICH COVERED MANAGEMENT, MARKETING, AND OTHER SUPPORTING SERVICES PROVIDED TO 899 CHARLESTON. TOTAL PAYMENTS TO JEWISH SENIOR LIVING GROUP FOR THESE MANAGEMENT, MARKETING, AND OTHER SUPPORTING SERVICES TOTALED $82,164 DURING THE 6/30/2022 FISCAL YEAR. EFFECTIVE OCTOBER 2021, THE ORGANIZATION ENTERED INTO A CONTRACT WITH LIFE CARE SERVICES FOR MANAGEMENT OF THE COMMUNITY. UNDER THE TERMS OF THE AGREEMENT, LIFE CARE SERVICES SUPERVISES THE OPERATIONS OF THE COMMUNITY. DURING THE JUNE 30, 2022 TAX YEAR, THE ORGANIZATION PAID $404,733 FOR MANAGEMENT AND MARKETING SERVICES AND $390,513 FOR OTHER SUPPORT SERVICES. FORM 990, PART VI, SECTION A, LINE 4 DURING THE 6/30/2022 FISCAL YEAR, THE ORGANIZATION AMENDED ITS BYLAWS TO REMOVE THE POWER OF JEWISH SENIOR LIVING GROUP TO APPOINT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION DOES NOT HAVE "MEMBERS" BY DEFINITION OF THE BYLAWS; HOWEVER, THE FORM 990 INSTRUCTIONS ALSO DEFINE A "MEMBER" AS ANY PERSON (INCLUDING A CORPORATION OR OTHER LEGAL ENTITY) WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE, INCLUDING ELECTING MEMBERS OF THE GOVERNING BODY. AS SUCH, IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, 899 CHARLESTON HAD ONE SOLE MEMBER UNTIL OCTOBER 2021 (WHEN THE BYLAWS WERE AMENDED): JEWISH SENIOR LIVING GROUP. FORM 990, PART VI, SECTION A, LINE 7A JEWISH SENIOR LIVING GROUP, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, HAD THE POWER TO APPOINT A MAJORITY OF THE TRUSTEES OF 899 CHARLESTON UNTIL OCTOBER 2021, WHEN THE BYLAWS WERE AMENDED TO REMOVE SUCH POWER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE TAX PREPARATION FIRM IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE STAFF. MANAGEMENT OF THE ORGANIZATION THEN REVIEWS THE COMPLETED FORM 990 AND FOLLOWS UP WITH THE TAX PREPARATION FIRM TO ANSWER ANY UNRESOLVED QUESTIONS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE BOARD OF TRUSTEES REVIEWS AND DETERMINES IF ANY CONFLICTS OF INTEREST EXIST AND TAKES THE APPROPRIATE ACTION AS OUTLINED IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, WHICH INCLUDES RECUSAL FROM ANY DECISION-MAKING PROCESS INVOLVING A CONFLICTED INDIVIDUAL. FORM 990, PART VI, SECTION B, LINE 15 DURING THE FISCAL YEAR, INDEPENDENT REPRESENTATIVES OF THE MANAGEMENT COMPANY OVERSEEING OPERATIONS OF THE ORGANIZATION REVIEWED AND APPROVED THE COMPENSATION PACKAGE FOR THE EXECUTIVE DIRECTOR AND CFO BASED ON COMPENSATION SURVEYS AND STUDIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN (B): AVERAGE HOURS PER WEEK REPORTED IN FORM 990, PART VII, SECTION A, COLUMN (B) FOR MICHAEL SKAFF AND MARY CONNICK APPEAR LOW AS THESE INDIVIDUALS DEVOTE A PORTION OF THEIR WORKING TIME TO AFFILIATED ORGANIZATIONS WHICH DO NOT MEET THE DEFINITION OF A RELATED ORGANIZATION, PER THE FORM 990 INSTRUCTIONS. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN JHSLF -1,144,737. CHANGE IN FUTURE SERVICE BENEFIT OBLIGATION 1,115,724. JEWISH SENIOR LIVING GROUP 302 SILVER AVENUE SAN FRANCISCO CA 94112 800291740 SEE PART VII CA 501(C)(3) LINE 12A, I N/A 0 BAY AREA JEWISH SENIOR LIFE 302 SILVER AVENUE SAN FRANCISCO CA 94112 455092344 SEE PART VII CA 501(C)(3) LINE 12A, I JEWISH SENIOR LIVING GROUP 0 BAY AREA SENIOR HEALTH SERVICES INC 302 SILVER AVENUE SAN FRANCISCO CA 94015 454293287 MANAGEMENT CO CA N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 PART II, COLUMN (B): JEWISH SENIOR LIVING GROUP PRIMARY ACTIVITY: TO PROMOTE THE PROVISION OF JEWISH LIVING SERVICES, FACILITIES AND AGING SERVICES IN NORTHERN CALIFORNIA BY PROVIDING SERVICES DESIGNED TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK. PART II, COLUMN (B): BAY AREA JEWISH SENIOR LIFE PRIMARY ACTIVITY: TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK. SCHEDULE R, PART II AND SCHEDULE R, PART IV: JEWISH SENIOR LIVING GROUP, BAY AREA JEWISH SENIOR LIFE, AND BAY AREA SENIOR HEALTH SERVICES INC. WERE RELATED ORGANIZATIONS OF 899 CHARLESTON UNTIL OCTOBER 2021.