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SHALOM PARK: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SHALOM PARK (EIN 74-2376546)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-08-04
IRS object ID
202042179349301034
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-04T14:18:05-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742376546EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHALOM PARKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHALBusinessNameControlTxt
Phone3036805000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 EAST BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP800152258ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARC PENNERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3036805000PhoneNum
Signature2020-08-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2020-08-04PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-04IPDt
IP Tm11:36:25IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id48BB772327C0B50C3FF11C9D32DE9CCE547AD9E0AtSubmissionCreationDeviceId
At Submission Filing Device Id16B8C8A2288CEE750E5B137A18C18C08FA399435AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SHALOM CARESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMARC PENNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 EAST BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP800152258ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,228,456GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SHALOMPARK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionCREATING A JOYFUL COMMUNITY WHERE HONOR AND BELONGING FLOURISH.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee270TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,427,314PYContributionsGrantsAmt
CY Contributions Grants$780,553CYContributionsGrantsAmt
PY Program Service Revenue$13,433,948PYProgramServiceRevenueAmt
CY Program Service Revenue$14,245,235CYProgramServiceRevenueAmt
PY Investment Income$110,846PYInvestmentIncomeAmt
CY Investment Income-$10,450CYInvestmentIncomeAmt
PY Other Revenue$2,250PYOtherRevenueAmt
CY Other Revenue$133,419CYOtherRevenueAmt
PY Total Revenue$22,974,358PYTotalRevenueAmt
CY Total Revenue$15,148,757CYTotalRevenueAmt
PY Grants And Similar Paid$3,747PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$672,146CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,362,333PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,291,295CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$136,557CYTotalFundraisingExpenseAmt
PY Other Expenses$6,137,736PYOtherExpensesAmt
CY Other Expenses$6,817,921CYOtherExpensesAmt
PY Total Expenses$14,503,816PYTotalExpensesAmt
CY Total Expenses$15,781,362CYTotalExpensesAmt
PY Revenues Less Expenses$8,470,542PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$632,605CYRevenuesLessExpensesAmt
Total Assets BOY$11,204,739TotalAssetsBOYAmt
Total Assets EOY$10,695,212TotalAssetsEOYAmt
Total Liabilities BOY$2,671,878TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,794,956TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,532,861NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,900,256NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCREATING A JOYFUL COMMUNITY WHERE HONOR AND BELONGING FLOURISH. SHALOM PARK, AN EDEN ALTERNATIVE MILESTONE II ORGANIZATION, OPERATES A NURSING HOME FOR THE AGED. IT PROVIDES HEALTH CARE AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A MULTI-LEVEL SKILLED NURSING FACILITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,928,639ExpenseAmt
Grant$672,146GrantAmt
Revenue$14,245,235RevenueAmt
DescSHALOM PARK OPERATES A NURSING HOME. DURING 2019, THE ORGANIZATION PROVIDED CARE FOR 244 ELDERS.Desc
Total Program Service Expenses$13,928,639TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document61IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee270EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARC PENNERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3036805000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 E BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP800152258ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANDY HEINS
CHAIR10.001.00Yes (X)Yes (X)$0$0$0
BRUCE BENDELL
VICE CHAIR & DIRECTOR5.001.00Yes (X)Yes (X)$0$0$0
MICHAEL STREAR
PAST CHAIR & VICE CHAIR5.001.00Yes (X)Yes (X)$0$0$0
NEIL OBERFELD
TREASURER5.000.00Yes (X)Yes (X)$0$0$0
ELISA ROBYN
SECRETARY5.001.00Yes (X)Yes (X)$0$0$0
LISA COOK
DIRECTOR1.001.00Yes (X)$0$0$0
ROBIN CHOTIN
DIRECTOR1.000.00Yes (X)$0$0$0
KEN FEILER
DIRECTOR (THROUGH MARCH 2019)1.000.00Yes (X)$0$0$0
JAN FISHER
DIRECTOR1.000.00Yes (X)$0$0$0
SUSY GRAZI
DIRECTOR1.000.00Yes (X)$0$0$0
MARC LEVINE
DIRECTOR1.000.00Yes (X)$0$0$0
ANDY MILLER
DIRECTOR1.000.00Yes (X)$0$0$0
JAY MOSKOWITZ
DIRECTOR1.000.00Yes (X)$0$0$0
STUART PACK
DIRECTOR1.000.00Yes (X)$0$0$0
MELINDA QUIAT
DIRECTOR1.000.00Yes (X)$0$0$0
JARED SEIDENBERG
DIRECTOR1.000.00Yes (X)$0$0$0
GARY YOURTZ
DIRECTOR (THROUGH JANUARY 2019)1.001.00Yes (X)$0$0$0
SAM ZAITZ
DIRECTOR1.000.00Yes (X)$0$0$0
MARC PENNER
PRESIDENT/CEO26.0014.00Yes (X)Yes (X)$308,863$0$21,694
RUTH MINNEMA
DIRECTOR OF NURSING40.000.00$149,472$0$9,637Yes (X)
MINDY MOSCOWITZ
NURSING HOME ADMINISTRATOR40.000.00$125,878$0$13,907Yes (X)
DENISE BILYEU
DIRECTOR OF HUMAN RESOURCES40.000.00$105,673$0$9,537Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$689,886TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$54,775TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MORRISON MANAGEMENT SPECIALIST
PO BOX 102289ATLANTAGA30368DIETARY SERVICES$2,075,398
HAYNES MECHANICAL SYSTEMS
5700 S QUEBEC ST 210GREENWOOD VILLAGECO80111MECH. MAINTENANCE & UPGRADES$1,275,650
PREMERE REHAB LLC
25117 SW PARKWAY SUITE DWILSONVILLEOR97070THERAPY SERVICES$466,554
PLANTE & MORAN
8181 E TUFTS AVENUE SUITE 600DENVERCO80237IT CONSULTING & SERVICES$227,078
MERIT ELECTRIC
2590 MIDPOINT DRIVEFORT COLLINSCO80525ELECTRIC PROJECTS & REPAIRS$115,809
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Fundraising$416,133FundraisingAmt
Related Organizations$53,435RelatedOrganizationsAmt
All Other Contributions$310,985AllOtherContributionsAmt
Total Contributions$780,553TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT FEES623000$14,145,117$14,145,117
ANCILLARY SERVICES623000$100,118$100,118
FieldValueIRS element (for citing)
Total Program Service Revenue$14,245,235TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$10,450OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$10,450OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$10,450TotalRevenueColumnAmt
Exclusion-$10,450ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$29,750FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$416,133ContriRptFundraisingEventAmt
Fundraising Direct Expenses$69,249FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$39,499TotalRevenueColumnAmt
Exclusion-$39,499ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$172,918TotalRevenueColumnAmt
Exclusion$172,918ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$172,918OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,148,757TotalRevenueColumnAmt
Related Or Exempt Func Income$14,245,235RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$122,969ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$672,146TotalAmt
Program Services$672,146ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$330,557TotalAmt
Management And General$330,557ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,909,257TotalAmt
Program Services$6,349,594ProgramServicesAmt
Management And General$472,810ManagementAndGeneralAmt
Fundraising$86,853FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$482,627TotalAmt
Program Services$449,188ProgramServicesAmt
Management And General$27,926ManagementAndGeneralAmt
Fundraising$5,513FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$568,854TotalAmt
Program Services$510,187ProgramServicesAmt
Management And General$52,800ManagementAndGeneralAmt
Fundraising$5,867FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,463TotalAmt
Management And General$11,463ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,206TotalAmt
Management And General$27,206ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,480,484TotalAmt
Program Services$2,360,158ProgramServicesAmt
Management And General$120,215ManagementAndGeneralAmt
Fundraising$111FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$74,376TotalAmt
Program Services$31,151ProgramServicesAmt
Management And General$39,681ManagementAndGeneralAmt
Fundraising$3,544FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$133,140TotalAmt
Program Services$106,512ProgramServicesAmt
Management And General$13,314ManagementAndGeneralAmt
Fundraising$13,314FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$162,587TotalAmt
Program Services$87,323ProgramServicesAmt
Management And General$67,738ManagementAndGeneralAmt
Fundraising$7,526FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$522,915TotalAmt
Program Services$414,748ProgramServicesAmt
Management And General$106,502ManagementAndGeneralAmt
Fundraising$1,665FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$85,620TotalAmt
Program Services$35,932ProgramServicesAmt
Management And General$46,173ManagementAndGeneralAmt
Fundraising$3,515FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$108,025TotalAmt
Program Services$86,420ProgramServicesAmt
Management And General$21,605ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,123,361TotalAmt
Program Services$923,302ProgramServicesAmt
Management And General$200,059ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$342,558TotalAmt
Program Services$293,586ProgramServicesAmt
Management And General$46,434ManagementAndGeneralAmt
Fundraising$2,538FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM SUPPLIES$808,453$739,534$63,480$5,439
FOOD$562,277$562,277
REPAIRS AND MAINTENANCE$235,956$193,814$42,142
OTHER EXPENSES$109,632$82,899$26,061$672

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$29,868TotalAmt
Program Services$29,868ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,781,362TotalAmt
Program Services$13,928,639ProgramServicesAmt
Management And General$1,716,166ManagementAndGeneralAmt
Fundraising$136,557FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,060,343BOYAmt
EOY$729,595EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,657BOYAmt
EOY$10,610EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$906,074BOYAmt
EOY$937,661EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$174,705BOYAmt
EOY$258,852EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,177,249LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,442,809LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,695,743BOYAmt
EOY$8,734,440EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$345,217BOYAmt
EOY$24,054EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,204,739BOYAmt
EOY$10,695,212EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,558,255BOYAmt
EOY$1,021,058EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$26,700BOYAmt
EOY$3,100EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$31,787BOYAmt
EOY$24,054EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,055,136BOYAmt
EOY$1,746,744EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,671,878BOYAmt
EOY$2,794,956EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,532,861BOYAmt
EOY$7,900,256EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,532,861BOYAmt
EOY$7,900,256EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,204,739BOYAmt
EOY$10,695,212EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$632,605ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$9,427,314CurrentTaxYearMinus1YearAmt
Current Tax Year$780,553CurrentTaxYearAmt
Total$10,207,867TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,521,319CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,158,601CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,162,703CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,433,948CurrentTaxYearMinus1YearAmt
Current Tax Year$14,245,235CurrentTaxYearAmt
Total$69,521,806TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,521,319CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,158,601CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,162,703CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,861,262CurrentTaxYearMinus1YearAmt
Current Tax Year$15,025,788CurrentTaxYearAmt
Total$79,729,673TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$79,729,673PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$846CurrentTaxYearMinus1YearAmt
Total$846TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$846CurrentTaxYearMinus1YearAmt
Total$846TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,541CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,298CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,498CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,452CurrentTaxYearMinus1YearAmt
Current Tax Year$202,668CurrentTaxYearAmt
Total$307,457TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,525,860CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,177,899CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,173,201CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,932,560CurrentTaxYearMinus1YearAmt
Current Tax Year$15,228,456CurrentTaxYearAmt
Total$80,037,976TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99610PublicSupportCY509Pct
Public Support PY5090.99860PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME FUNDRAISING EVENT REVENUESExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,951,498BeginningYearBalanceAmt
Contributions$90,000ContributionsAmt
Investment Earnings Or Losses$277,220InvestmentEarningsOrLossesAmt
End Year Balance$3,318,718EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,898,466BeginningYearBalanceAmt
Contributions$249,998ContributionsAmt
Investment Earnings Or Losses-$196,966InvestmentEarningsOrLossesAmt
End Year Balance$2,951,498EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,878,912BeginningYearBalanceAmt
Investment Earnings Or Losses$318,110InvestmentEarningsOrLossesAmt
Other Expenditures$298,556OtherExpendituresAmt
End Year Balance$2,898,466EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,767,682BeginningYearBalanceAmt
Contributions$125ContributionsAmt
Investment Earnings Or Losses$156,417InvestmentEarningsOrLossesAmt
Other Expenditures$45,312OtherExpendituresAmt
End Year Balance$2,878,912EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,880,924BeginningYearBalanceAmt
Contributions$400ContributionsAmt
Investment Earnings Or Losses-$64,937InvestmentEarningsOrLossesAmt
Other Expenditures$48,705OtherExpendituresAmt
End Year Balance$2,767,682EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.74150PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.25850TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,561,563OtherCostOrOtherBasisAmt
Book Value$2,561,563BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,649,454OtherCostOrOtherBasisAmt
Depreciation$13,251,499DepreciationAmt
Book Value$3,397,955BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,730,614OtherCostOrOtherBasisAmt
Depreciation$1,651,873DepreciationAmt
Book Value$78,741BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,113,450OtherCostOrOtherBasisAmt
Depreciation$1,539,437DepreciationAmt
Book Value$2,574,013BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$122,168OtherCostOrOtherBasisAmt
Book Value$122,168BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,734,440TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,159,207TotalRevEtcAuditedFinclStmtAmt
Other Revenue$10,450OtherRevenueAmt
Revenue Not Reported$10,450RevenueNotReportedAmt
Revenue Subtotal$15,148,757RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,148,757TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,144,392TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$10,450OtherExpensesIncludedAmt
Expenses Not Reported$10,450ExpensesNotReportedAmt
Expenses Subtotal$15,133,942ExpensesSubtotalAmt
Other Expenses Not Included$647,420OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$647,420ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,781,362TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:SHALOM PARK HOLDS RESIDENT FUNDS IN TRUST FOR THEIR SECURITY. RESIDENTS MAY ACCESS THEIR FUNDS DURING NORMAL BUSINESS HOURS BY MAKING A REQUEST AT THE BUSINESS OFFICE. THE FUNDS ARE HELD IN A SEPARATE INTEREST-BEARING ACCOUNT. THE INTEREST IS CREDITED TO THE RESIDENTS' RESPECTIVE ACCOUNTS.
PART V, LINE 4:BETH ISRAEL FOUNDATION FOR THE AGED, A RELATED ORGANIZATION, HOLDS ASSETS IN ENDOWMENT FUNDS. THE ENDOWMENTS CONSIST OF VARIOUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES.
PART X, LINE 2:SHALOM PARK IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION FOR STATE LAW. HOWEVER, SHALOM PARK IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF FIXED ASSETS 10,450.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF FIXED ASSETS 10,450.
PART XII, LINE 4B - OTHER ADJUSTMENTS:TRANSFERS TO RELATED ORGANIZATIONS 647,420.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL DINNEREvent1Nm
Gross Receipts Event1$445,883GrossReceiptsEvent1Amt
Charitable Contri Event1$416,133CharitableContriEvent1Amt
Gross Revenue Event1$29,750GrossRevenueEvent1Amt
Rent Facility Costs Event1$7,344RentFacilityCostsEvent1Amt
Food And Beverage Event1$27,760FoodAndBeverageEvent1Amt
Entertainment Event1$12,000EntertainmentEvent1Amt
Other Direct Expenses Event1$22,145OtherDirectExpensesEvent1Amt
Gross Receipts Total$445,883GrossReceiptsTotalAmt
Charitable Contributions Tot$416,133CharitableContributionsTotAmt
Gross Revenue Total Events$29,750GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$7,344RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$27,760FoodAndBeverageTotalEventsAmt
Entertainment Total Events$12,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$22,145OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$69,249DirectExpenseSummaryEventsAmt
Net Income Summary-$39,499NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1BETH ISRAEL FOUNDATION FOR THE AGEDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 EAST BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80015ZIPCd
FieldValueIRS element (for citing)
Recipient EIN742195249RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$647,420CashGrantAmt
Purpose Of GrantGENERAL OPERATING SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ONLY SIGNIFICANT GRANT WAS A TRANSFER TO A RELATED ORGANIZATION. PROPER USE OF THE FUNDS WAS ENSURED THROUGH COMMON BOARD MANAGEMENT OVERSIGHT BETWEEN THE TWO ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARC PENNER
PRESIDENT/CEO$299,584$0$9,279$0$0$0$0$0$21,694$0$330,557$0$0$0
RUTH MINNEMA
DIRECTOR OF NURSING$143,972$0$5,500$0$0$0$0$0$9,637$0$159,109$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationTHE MANAGEMENT TEAM RECEIVES HOLIDAY BONUSES THAT ARE DETERMINED AND APPROVED BY THE CEO AND THE BOARD'S FINANCE COMMITTEE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CURRENT OFFICERS, THE PAST CHAIR(S) AND SUCH OTHER MEMBERS AS ARE APPOINTED BY THE CHAIR. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF AND IN PLACE OF THE BOARD BETWEEN REGULAR MEETINGS OF THE BOARD WHEN REASONABLY NECESSARY TO FULFILL THE PURPOSES AND DUTIES OF THE BOARD, AS DETERMINED BY THE CHAIR, AND IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE BOARD OF TRUSTEES AND FOR SUCH OTHER POWERS AS THE BOARD FROM TIME TO TIME MAY PRESCRIBE. ACTIONS OF THE EXECUTIVE COMMITTEE MAY BE OVERRULED OR AMENDED BY LATER ACTION OF THE BOARD, BUT ANY ACTION PROPERLY TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE BINDING UPON THE ORGANIZATION UNTIL SUCH LATER ACTION OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 2SAM ZAITZ AND LISA COOK HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 8BTHE FINANCE COMMITTEE AND EXECUTIVE COMMITTEE DO NOT KEEP MINUTES OF THEIR MEETINGS.
FORM 990, PART VI, SECTION B, LINE 11BTHE CONTROLLER AND CEO REVIEWED THE FORM 990, AFTER WHICH THE FINANCE COMMITTEE REVIEWED AND APPROVED THE FORM 990. THE RETURN WAS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO IT BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL AFFIRMATION SIGNED BY EACH TRUSTEE. THE ORGANIZATION MONITORS COMPLIANCE WITH THE POLICY DURING THE YEAR BY INQUIRING AT ITS BOARD MEETINGS WHETHER ANY CONFLICTS OF INTEREST HAVE ARISEN SINCE THE ANNUAL AFFIRMATION WAS SIGNED. AN INDIVIDUAL WITH A CONFLICT MAY NOT VOTE ON ANY MATTER THAT MAY INVOLVE THE CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ATHE CHAIR OF THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE ACTS AS THE COMPENSATION COMMITTEE FOR THE BOARD. THE COMPENSATION COMMITTEE CONSIDERS SEVERAL FACTORS, SUCH AS THE COMPLEXITY AND DIVERSITY OF RESPONSIBILITIES OF THE CEO'S POSITION (REGULATORY, FINANCIAL, OPERATIONS, QUALITY, COMMUNITY RELATIONS, FOUNDATION DEVELOPMENT, ETC.), SOCIAL SECURITY ADMINISTRATION COST OF LIVING ADJUSTMENT, THE ASSOCIATION OF JEWISH AGING SERVICE COMPENSATION SURVEY, AND THE CONTINUOUS EMPLOYMENT AGREEMENT BETWEEN THE ORGANIZATION AND THE CEO. BASED UPON THESE FACTORS, A MUTALLY AGREEABLE COMPENSATION AMOUNT IS DETERMINED BY THE COMPENSATION COMMITTEE AND THE CEO. THE ORGANIZATION MAINTAINS THE APPROPRIATE DOCUMENTATION OF THE PROCESS THROUGH WHICH THE COMPENSATION AMOUNT WAS SET. THIS COMPENSATION-SETTING PROCESS IS DONE ON AN ANNUAL BASIS. ON AN ANNUAL BASIS, 360 DEGREE FEEDBACK IS ALSO CONSIDERED IN COMPENSATION-SETTING PROCESS. THE ORGANIZATION DOES NOT HAVE ANY OTHER OFFICERS OR KEY EMPLOYEES; HOWEVER, IT DOES HAVE A PROCESS TO DETERMINE REASONABLE COMPENSATION FOR ITS EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,360,158. MANAGEMENT AND GENERAL EXPENSES 120,215. FUNDRAISING EXPENSES 111. TOTAL EXPENSES 2,480,484.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BETH ISRAEL FOUNDATION FOR THE AGEDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 E BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80015ZIPCd
FieldValueIRS element (for citing)
EIN742195249EIN
Primary ActivitiesFUNDRAISING TO SUPPORT SHALOM PARKPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SHALOM PARKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BETH ISRAEL FOUNDATION FOR THE AGED
C$53,435CASH
BETH ISRAEL FOUNDATION FOR THE AGED
B$647,420CASH