2021-05-10T20:30:32-05:00 2020-06-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2019-07-01 410696491 ST ANN'S HOME STAN 2187278831 330 E THIRD STREET DULUTH MN 55805 JOHN BORSTAD PRESIDENT 2187278831 2021-05-07 1 CORY RUTLEDGE P01329381 6123764500 2021-05-05 2019 2022-09-23 18:48:47Z JOHN BORSTAD 330 E THIRD STREET DULUTH MN 55805 4012162 0 X WWW.STANNS.COM X 1963 MN TO ENHANCE THE QUALITY OF LIFE OF OLDER ADULTS. 7 7 190 40 0 0 78372 162481 4015705 3872943 10 2 26334 -41007 4120421 3994419 0 0 0 0 2731051 2635458 0 0 0 1542465 1652913 4273516 4288371 -153095 -293952 1859052 2130642 2564326 3129806 -705274 -999164 TO ENHANCE THE QUALITY OF LIFE OF OLDER ADULTS BY PROVIDING A SECURE, COMFORTABLE, AND HOMELIKE ENVIRONMENT. RESIDENTS ARE ENCOURAGED TO LIVE AS INDEPENDENTLY AS POSSIBLE WITH SUPPORT SERVICES AVAILABLE TO MEET THEIR INDIVIDUAL NEEDS. 0 0 3336421 0 3872943 ST. ANN'S HOME IS AN ASSISTED LIVING COMPLEX COMPRISED OF 167 APARTMENT UNITS WITH THE GOAL AND MISSION OF ENHANCING THE QUALITY OF LIFE FOR OLDER ADULTS. ST ANN'S OFFERS OLDER ADULTS ALL THE WARMTH AND COMFORTS OF HOME WITH LUXURIOUS AND COMFORTABLE SURROUNDINGS, SUPERB FOOD, A FULL CALENDAR OF RECREATIONAL EVENTS, GOOD FRIENDS, AND THE SECURITY OF TOTAL CARE. 3336421 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 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 2 0 190 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 MN X CATHERINE SCHNEEWEIS 2187278831 330 EAST THIRD STREET DULUTH MN 55805 SCOTT JOHNSON EXECUTIVE DIRECTOR 40.00 X 93516 0 0 JOHN BORSTAD PRESIDENT 1.00 X X 0 0 0 RICHARD CARLSON VICE PRESIDENT 1.00 X X 0 0 0 KRISTA ROUSE SECRETARY 1.00 X X 0 0 0 JIM BOILEAU TREASURER 1.00 X X 0 0 0 JILLIAN BRESNAHAN DIRECTOR 1.00 X 0 0 0 SAMANTHA KRSIEAN DIRECTOR 1.00 X 0 0 0 RUTH MARTIN DIRECTOR 1.00 X 0 0 0 93516 0 0 0 0 0 0 ARAMARK 4425 VENTURE AVE DULUTH MN 55811 LINENS AND LAUNDRY SERVICE 123048 1 100000 62481 162481 RESIDENT REVENUES 623000 3872943 3872943 3872943 2 2 29538 17743 11795 11795 LAUNDRY REVENUE 900099 5966 5966 OTHER INCOME 900099 2821 2821 LOSS ON REFINANCING 900099 -61589 -61589 -52802 3994419 3872943 0 -41005 93516 93516 2217393 1804224 413169 117437 117437 207112 148068 59044 875 875 14061 14061 104014 63211 40803 20740 20740 86864 9046 77818 339476 339476 651 651 120420 120420 204435 204435 46777 46777 FOOD 355117 355117 PROGRAM SUPPLIES 110897 110897 REPAIRS & MAINTENANCE 91596 91596 SPECIAL ACTIVITIES 6080 6080 150910 83851 67059 4288371 3336421 951950 0 15247 264712 306 253 210843 271457 15216 18720 5465 4896 7257777 5759812 1536217 1497965 64457 39155 11301 33484 1859052 2130642 753194 759511 1214398 0 65042 54281 349713 2134035 181979 181979 2564326 3129806 X -771583 -1039254 66309 40090 -705274 -999164 1859052 2130642 -293952 62 0 X 0 1 X 1 0 X 21207 49198 35482 78372 162481 346740 3986312 4094221 4175967 4015705 3872943 20145148 53030 47195 48198 52804 38325 239552 4060549 4190614 4259647 4146881 4073749 20731440 0 0 0 20731440 2 10 2 14 2 10 2 14 4060551 4190614 4259647 4146891 4073751 20731454 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 104995 104995 5399498 4496612 902886 110637 15385 95252 1642647 1247815 394832 1497965 X 4073813 62 17743 17805 4056008 -61589 -61589 3994419 4306114 17743 17743 4288371 0 4288371 PART IV, LINE 2B: THE ORGANIZATION INCLUDES AN ESCROW ACCOUNT LIABILITY ON THEIR BALANCE SHEET CONSISTING OF RESIDENT SECURITY DEPOSITS. PART X, LINE 2: THE ORGANIZATION HAS BEEN DETERMINED TO QUALIFY AS A TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ALSO HAS BEEN DETERMINED TO BE EXEMPT FROM STATE INCOME TAX. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSE. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 17,743. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON REFINANCING -61,589. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 17,743. FORM 990, PART VI, SECTION A, LINE 1 THERE IS A GOVERNANCE COMMITTEE COMPOSED OF TWO OR MORE OFFICERS OF THE BOARD OF DIRECTORS. THE ADMINISTRATOR, WHILE NOT A VOTING MEMBER, IS THE SECRETARY OF THE GOVERNANCE COMMITTEE. EXCEPT FOR THE POWER TO AMEND THE ARTICLES OF INCORPORATION AND THE BYLAWS, THE GOVERNANCE COMMITTEE HAS ALL THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS IN MANAGEMENT OF THE PROPERTY, BUSINESS, AND AFFAIRS OF THE BOARD IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD, SUBJECT ALWAYS TO THE DIRECTION AND CONTROL OF THE BOARD. ANY POLICY OR ACTION ADOPTED OR TAKEN BY THE GOVERNANCE COMMITTEE CONTINUES EFFECTIVE UNLESS AND UNTIL DISAPPROVED BY THE BOARD OF DIRECTORS. POLICIES OR ACTIONS ADOPTED BY THE GOVERNANCE COMMITTEE ARE REVIEWED AT THE NEXT MEETING OF THE BOARD. THE GOVERNANCE COMMITTEE PERIODICALLY REVIEWS PERSONNEL PRACTICES; EVALUATES THE PERFORMANCE OF THE ADMINISTRATOR; DEVELOPS AND RECOMMENDS TO THE BOARD LONG RANGE PLANS; SELECTS, NOMINATES, RECOMMENDS AND RECRUITS POTENTIAL NEW BOARD MEMBERS AND OFFICERS; AND PREPARES A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AND A SLATE OF OFFICERS. IN PREPARING NOMINATIONS, THE POLICY OF THE COMMITTEE IS TO INSURE BROAD AND ADEQUATE REPRESENTATION OF THE VARIOUS PARTS OF COMMUNITY LIFE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CEO, THE BOARD TREASURER, AND THE BOARD'S ASSET COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND COVERS ALL BOARD MEMBERS. ALL NEW CONTRACTS ARE REVIEWED BY THE ASSET COMMITTEE IN ORDER TO DETERMINE IF THERE ARE ANY CONFLICTS OF INTEREST. AFTER REVIEW THE CONTRACTS ARE SUBMITTED TO THE BOARD OF DIRECTORS FOR APPROVAL WHO THEN MAKE THE FINAL DECISION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHAT ACTION NEEDS TO BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION IS REVIEWED AND DETERMINED BY FULL BOARD OF DIRECTORS APPROVAL THROUGH COMPARISON OF SIMILAR POSITIONS IN THE AREA AS WELL AS PERFORMANCE OF THE CEO. THIS PROCESS OCCURS ANNUALLY. EXECUTIVE DIRECTOR DETERMINES COMPENSATION FOR OTHER KEY EMPLOYEES. 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.