2020-02-14T12:56:17-06:00 2019-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2018-10-01 561443222 SOUTHMINSTER INC SOUT 7045516800 8919 PARK ROAD CHARLOTTE NC 28210 KENDA LAUGHEY CHIEF FINANCIAL OFFICER 7045516800 2020-02-14 1 JOHN NORMAN P01506766 7049985200 2020-02-12 67.137.57.251 2020-02-14 12:24:02 ES P 2AEB61507DCC7F9CD840C370178C53350C3F626D 50B5ED40640626E3ACEBEF22A0FBEFD7F66F664C 2018 2020-09-23 17:36:50Z BEN GILCHRIST 8919 PARK ROAD CHARLOTTE NC 28210 53575960 0 X WWW.SOUTHMINSTER.ORG X 1984 NC TO PROVIDE CONTINUING CARE TO RESIDENTS OF SOUTHMINSTER, INC. 13 13 481 80 0 0 825389 1061373 28665400 29514121 1551310 2804310 108621 76560 31150720 33456364 906122 1117858 0 0 13875147 14876332 77000 56000 177885 13968622 14714387 28826891 30764577 2323829 2691787 207700331 228819591 218976495 238572162 -11276164 -9752571 SOUTHMINSTER IS A NON-PROFIT, CHARITABLE COMMUNITY THAT EMBRACES THE INDIVIDUAL, FOSTERING A QUALITY OF LIFE 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KLUTTZ VICE CHAIR, TREASURER 1.00 X X 0 0 0 HON REGAN MILLER BOARD MEMBER (10/2018-12/2018) 1.00 X 0 0 0 HOPE PARROTT CHAIR 1.00 X X 0 0 0 JAY RIVERS VICE CHAIR 1.00 X X 0 0 0 REV LISA SAUNDERS EX OFFICIO 1.00 X 0 0 0 DR WILLIAM SUGG BOARD MEMBER (10/2018-2/2019) 1.00 X 0 0 0 PAUL TOLMIE BOARD MEMBER 1.00 X 0 0 0 DICK WELCH BOARD MEMBER 1.00 X 0 0 0 JOHN C WYATT VICE CHAIR 1.00 X X 0 0 0 BEN GILCHRIST PRESIDENT & CEO (5/2019-PRESENT) 39.00 1.00 X 0 0 0 DAVID LACY PRESIDENT & CEO 39.00 1.00 X 404889 0 49036 KENDA LAUGHEY CFO AND ASSISTANT TREASURER 39.00 1.00 X 183185 0 27316 MARY COOPER COO AND ASSISTANT SECRETARY 40.00 X 183716 0 17676 STEWART WILEY MARKETING DIRECTOR 40.00 X 152407 0 24212 SALEM SUBER CULINARY SERVICES DIRECTOR 40.00 X 107063 0 20089 ARNOLDO MARQUEZ IT DIRECTOR 40.00 X 115709 0 19146 JAMES DIXSON ENVIRONMENTAL SERVICES DIRECTOR 40.00 X 107421 0 21243 MARY VENDAL MARKETING COUNSELOR 40.00 X 116446 0 17417 1370836 0 196135 8 0 1 0 SYSCO CHARLOTTE LLC 4500 CORPORATE 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THE CORPORATION IS CLASSIFIED AS A PUBLIC CHARITY UNDER SECTION 509A(2) OF THE INTERNAL REVENUE CODE. THE CORPORATION FILES AS A TAX-EXEMPT ORGANIZATION. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE CORPORATION ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE CORPORATION'S FINANCIAL STATEMENTS. X X X X X 1 PATTON MCDOWELL & ASSOCIATES LLC 338 S SHARON AMITY RD PMB 208 CHARLOTTE NC 28211 CAPITAL CAMPAIGN CONSULTANTS 0 437074 56000 381074 437074 56000 381074 NC SC SCHEDULE G, PART I, LINE 2B, COLUMN (V) DURING THE YEAR, THE ORGANIZATION PAID PATTON MCDOWELL & ASSOCIATES TO HELP RAISE FUNDS FOR A CAPITAL CAMPAIGN. 1 RENAISSANCE WEST COMMUNITY INITIATIVE 3610 NOBLES AVE 199 CHARLOTTE NC 28208 271396021 501(C)(3) 20000 SUPPORT FOR SENIOR PROGRAMMING AT THE RETREAT AT RWCI PARTNERS FOR PARKS PO BOX 681779 CHARLOTTE NC 28216 562004107 501(C)(3) 33000 SENIOR GAMES AND OPEN STREETS CHARLOTTE SYMPHONY 128 S TRYON ST STE 350 CHARLOTTE NC 28202 561582352 501(C)(3) 9800 ENSEMBLE SHOWS AND ORCHESTRA FOR COMMUNITY UNC CHARLOTTE 9201 UNIVERSITY CITY BLVD CHARLOTTE NC 28223 560791228 115 14124 GRANDPARENTS STUDY THE BULB GALLERY 6601 US HWY 601S CONCORD NC 28025 814676117 501(C)(3) 7200 PROVIDE PRODUCE AND HEALTH & WELLNESS EDUCATION GREATER ENRICHMENT PROGRAM INC 2035 PATTON AVE CHARLOTTE NC 28216 561139792 501(C)(3) 25000 SEED MONEY FOR A NEW AFTER SCHOOL SITE PIEDMONT CULINARY GUILD PO BOX 1508 BELMONT NC 28012 472397819 501(C)(3) 8000 COMMUNITY EDUCATION INITIATIVES ALZHEIMERS ASSOCIATION - WESTERN CAROLINA CHAPTER 3800 SHAMROCK DR CHARLOTTE NC 28215 133039601 501(C)(3) 14000 TO PROMOTE RESEARCH FOR THE CURE OF ALZHEIMER'S DISEASE ARTS & SCIENCE COUNCIL 227 W TRADE ST STE 250 CHARLOTTE NC 28202 560693436 501(C)(3) 6000 DONATION BECHTLER MUSEUM OF MODERN ART 420 S TRYON ST CHARLOTTE NC 28202 562225722 501(C)(3) 7270 SUPPORT SENIOR PROGRAMMING CENTRALINA AREA AGENCY ON AGING 9815 DAVID TAYLOR DRIVE STE 100 CHARLOTTE NC 28262 115 5650 SUPPORT AGING INITIATIVES CHARLOTTE MECKLENBURG LIBRARY 310 N TRYON STREET CHARLOTTE NC 28202 461172548 501(C)(3) 5000 DONATION CHARLOTTE VILLAGE NETWORK PO BOX 32544 CHARLOTTE NC 28232 474800673 501(C)(3) 17000 CONTINUED SUPPORT FOR A NEW SOUTH CHARLOTTE CHAPTER CREATIVE AGING NETWORK - NC PO BOX 10322 GREENSBORO NC 27404 331145536 501(C)(3) 25000 SUPPORT OF CREATIVE AGING INITIATIVES LEADINGAGE NC FOUNDATION 222 N PERSON ST STE 205 RALEIGH NC 27601 581594182 501(C)(3) 50000 CAPITAL CAMPAIGN PARKINSON ASSOCIATION OF THE CAROLINAS 2101 SARDIS ROAD N BOX 15 CHARLOTTE NC 28227 300064156 501(C)(3) 7000 EDUCATIONAL SYMPOSIUM, WALK FOR AWARENESS THE SHEPHERD'S CENTER OF CHARLOTTE 3115 PROVIDENCE RD CHARLOTTE NC 28211 561271236 501(C)(3) 35000 TO SUPPORT SENIOR PROGRAMMING AND SUPPORT SERVICES IN THE GREATER CHARLOTTE COMMUNITY WOMEN'S ALZHEIMER'S MOVEMENT (REGISTERED UNDER A WOMAN'S NATION 11440 SAN VICENTE BLVD STE 301 LOS ANGELES CA 90049 451837864 501(C)(3) 25000 SUPPORT FOR LOCAL WOMEN'S ALZHEIMER'S EVENT 18 RESIDENT ASSISTANCE 8 621411 PART I, LINE 2: THE DIRECTOR OF PHILANTHROPY WORKS WITH A COMMITTEE OF THE SOUTHMINSTER BOARD TO DETERMINE AREAS OF NEED IN THE OUTSIDE COMMUNITY THAT ALIGN WITH SOUTHMINSTER'S MISSION. GRANTS TO INDIVIDUAL RESIDENTS ARE APPLIED TO INDIVIDUAL RESIDENT ACCOUNTS TO ASSIST THEM WITH ENTRANCE FEES AND MONTHLY FEES. GRANTS ARE AWARDED BASED ON THE FINANCIAL NEED OF THE RESIDENT. X 0 1 X X X 0 1 0 0 0 0 0 1 0 DAVID LACY PRESIDENT & CEO 331072 0 73332 0 485 0 33625 0 15411 0 453925 0 0 0 KENDA LAUGHEY CFO AND ASSISTANT TREASURER 164926 0 18178 0 81 0 10370 0 16946 0 210501 0 0 0 MARY COOPER COO AND ASSISTANT SECRETARY 162730 0 17210 0 3776 0 10123 0 7553 0 201392 0 0 0 STEWART WILEY MARKETING DIRECTOR 143129 0 6866 0 2412 0 8655 0 15557 0 176619 0 0 0 PART I, LINE 1A DAVID LACY RECEIVED TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TOTALING $7251.00 INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 4B DURING CALENDAR YEAR 2018, SOUTHMINSTER INC. CONTRIBUTED $18,500 ON BEHALF OF DAVID LACY, AND KENDA LAUGHEY CONTRIBUTED $18,500 TO A SECTION 457 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PART I, LINE 7 CEO COMPENSATION INCLUDED AN ANNUAL BONUS BASED ON CERTAIN GOALS NOT TIED TO ORGANIZATION'S REVENUE OR NET EARNINGS, SET BY BOARD OF DIRECTORS. DEPARTMENT HEADS' COMPENSATION INCLUDED ANNUAL BONUSES BASED ON CERTAIN GOALS NOT TIED TO ORGANIZATION'S REVENUE OR NET EARNINGS, SET BY CEO. A NC MEDICAL CARE COMMISSION 521309402 65820YMR4 2016-11-10 64801252 ADVANCE REFUND $61,515,000 OF SERIES 2007A OUTSTANDING BONDS 0 0 0 B PUBLIC FINANCE AUTHORITY 273866124 74444VAH3 2018-07-18 90670374 CONSTRUCTION OF REPLACEMENT HEALTH CTR. AND 2 INDEPENDENT LIVING BUILDINGS 0 0 0 A 560000 64801252 4640562 1089988 63711264 0 1 1 1 B 90670374 4282850 1682100 41001457 43703967 0 0 0 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART II, LINE 3, COLUMN A PROCEEDS, AS WELL AS THE ISSUE PRICE, ARE BROKEN OUT AS FOLLOWS: PAR AMOUNT $58,765,000 ORIGINAL ISSUE DISCOUNT (47,157) PREMIUM 6,083,409 ------------ $64,801,252 FORM 990, PART VI, SECTION A, LINE 7B ALL BOARD MEMBERS ARE NOMINATED BY A NOMINATING COMMITTEE OF THE BOARD, BUT SUCH NOMINEES ARE SUBJECT TO APPROVAL BY THE GOVERNING BODIES OF THE ORGANIZATION'S TWO FOUNDING CHURCHES PRIOR TO ELECTION BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FINAL FORM 990 WILL BE DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO BEING FILED. ANY COMMENTS OR QUESTIONS WILL BE DIRECTED TO MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS OF THE BOARD SIGN CONFLICT OF INTEREST POLICY/DECLARATIONS EACH YEAR. IF THERE IS A CONCERN THAT A TRANSACTION MAY RISE TO A CONFLICT OF INTEREST, IT IS PROACTIVELY RAISED WITH THE BOARD FOR DISCUSSION/APPROVAL. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PRESIDENT IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF SOUTHMINSTER, INC. AS PART OF A COMPREHENSIVE REVIEW OF THE PRESIDENT'S PERFORMANCE AGAINST AGREED-UPON GOALS. CHANGES TO COMPENSATION OF THE PRESIDENT ARE RECOMMENDED BY THE EXECUTIVE COMMITTEE TO THE BOARD AND ARE APPROVED BY THE BOARD. COMPENSATION OF KEY EMPLOYEES OTHER THAN THE PRESIDENT IS REVIEWED AND APPROVED BY THE PRESIDENT. COMPETITIVE COMPENSATION INFORMATION IS OBTAINED FROM INDEPENDENT SOURCES, SUCH AS GUIDESTAR, TO ENSURE THAT COMPENSATION IS REASONABLE IN RELATION TO THE MARKETPLACE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH ELECTRONIC MUNICIPAL MARKET ACCESS, A SOURCE FOR MUNICIPAL DISCLOSURES AND MARKET DATA. IN ADDITION, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: PROCESS IS UNCHANGED FROM PRIOR YEAR. SOUTHMINSTER FOUNDATION 8919 PARK ROAD CHARLOTTE NC 28210 581711827 FUNDRAISING NC 501(C)(3) LINE 12A, I SOUTHMINSTER INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0