2017-06-15T11:23:00-05:00 2016-09-30 411765929 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2015-10-01 411889334 Cottonwood Ridge Apartments COTT 5077234500 712 E Cottonwood St Springfield MN 560871167 Joshua Jensen CEO 5077233209 2017-06-14 1 Deb Nelson CPA P01264758 6122536500 2017-06-03 2015 2021-01-29 14:40:06Z Joshua Jensen 712 E Cottonwood St Springfield MN 560871167 70530 0 X www.sjlhome.com X 1997 MN Housing services for the elderly. 10 10 0 11 0 0 0 0 65381 70450 70 80 0 0 65451 70530 0 0 0 0 0 0 0 0 0 128453 133556 128453 133556 -63002 -63026 602829 568433 16076 44706 586753 523727 None 0 0 79906 70450 Cottonwood Ridge provides housing facilities and services for very low income elderly residents. Cottonwood Ridge consists of a 24 unit multi-family housing project. The organization meets the emotional, housing and physical needs of its residents. Home care services are offered to tenants through St. John Lutheran Home, a related entity. 79906 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 1 0 0 0 MN X Johsua Jensen 5077233209 201 S County Road 5 Springfield MN 56087 Dan Olson Chair 1.00 2.00 X X 0 0 0 Sharon Beyer Vice Chair (thru Feb 2016) 1.00 1.00 X X 0 0 0 Randy Therkilsen Vice Chair (as of Feb 2016) 1.00 2.00 X X 0 0 0 Pat Renberg Treasurer 1.00 2.00 X X 0 0 0 Laurie Fredin Secretary 1.00 2.00 X X 0 0 0 Gilbert Anderson Director 1.00 2.00 X 0 0 0 Ken Hemmingsen Jr Director 1.00 1.00 X 0 0 0 Paula Roiger Director 1.00 1.00 X 0 0 0 Sue Steinke Director 1.00 1.00 X 0 0 0 Jo Schwartz Director 1.00 2.00 X 0 0 0 Gary Poortviliet Director 1.00 1.00 X 0 0 0 Joshua Jensen CEO 2.00 42.00 X 0 104519 0 Robert Lamote CFO 2.00 42.00 X 0 64139 0 0 168658 0 0 0 0 0 0 Resident Service Reven 623000 67452 67452 Miscellaneous Revenue 900099 2998 2998 70450 80 80 70530 70450 0 80 X 3989 3989 10037 10037 31858 11604 20254 1894 1894 6295 2947 3348 26167 16193 9974 298 298 49 49 48864 48864 3930 3930 Licenses 175 175 133556 79906 53650 0 6104 8323 2367 2409 1722964 1236692 535137 486272 59221 71429 602829 568433 11668 39803 4408 4903 16076 44706 X 586753 523727 586753 523727 602829 568433 -63026 0 X 0 1 X 1 0 X 98774 102015 89751 65381 70450 426371 98774 102015 89751 65381 70450 426371 0 0 0 426371 182 182 83 70 80 597 182 182 83 70 80 597 21628 21628 98956 123825 89834 65451 70530 448596 0.95050 0.95350 0.00130 0.00190 X 0 1 X 88719 88719 1534248 1143233 391015 99997 93459 6538 486272 X 70530 0 70530 0 70530 133556 0 133556 0 133556 Part IV, Line 2b: The Organization holds tenant security deposits. These deposits totaled $4,903 for the fiscal year ending September 30, 2016. Part X, Line 2: Cottonwood Ridge is organized as a Minnesota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The entity is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. 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 has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Form 990, Part VI, Section A, line 2 Joshua Jensen and Robert Lamote have a business relationship with all board members. Form 990, Part VI, Section A, line 7a Directors of the organization shall, at all times, be limited to individuals who are either members of St. John Lutheran Home, or nonmembers who have been approved by St. John Lutheran Home. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11 The CEO and CFO will review the draft in detail and provide copies to the Board. Form 990, Part VI, Section B, line 12c The policy currently covers board members and the CEO and CFO. Annual statements are reviewed by the CEO. If a board member has a conflict, that individual must refrain from voting on the matter. Form 990, Part VI, Section B, line 15 The CEO and other officers of the organization are compensated by a related organization which has a process in place for determining compensation. This is an annual process. Form 990, Part VI, Section C, line 19 Governing documents, conflict of interest policy and financial statements would be made available to the public upon request. Each request would be reviewed on a case by case basis. Form 990, Part IX, line 11g Fees for Services: Program service expenses 11,604. Management and general expenses 20,254. Fundraising expenses 0. Total expenses 31,858. St John Lutheran Home 201 S County Road 5 Springfield MN 56087 410711592 Skilled Nursing Care MN 501(c)(3) Line 9 N/A 0 St John Lutheran Home Foundation 201 S County Road 5 Springfield MN 56087 363372067 Support St. John Lutheran Home MN 501(c)(3) Line 7 St John Lutheran Home 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0