STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMUNITY VOLUNTEER NETWORK: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY VOLUNTEER NETWORK (EIN 93-0892261)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-14
IRS object ID
201400459349302645
Schema version
2012v2.0
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)
Timestamp2014-02-14T17:35:34-08:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL L PIELS CPAs LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1940 TOWN CENTRE DRAddressLine1
CityMEDFORDCity
StateORState
ZIP Code975046100ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930892261EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROGUE VALLEY MANOR COMMUNITY SVCS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlROGUNameControl
Phone5418577780Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 ELLENDALEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREG JONESName
TitleChairmanTitle
Date Signed2014-02-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEWART C PARMELE CPAName
PTINP00233959PTIN
Phone5417798261Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREG JONESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12340 GREENBROOK DRIVEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
Gross Receipts640693GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.RETIREMENT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE SERVICES TO THE COMMUNITY AND SPONSOR PROGRAMS FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers1002TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year594164ContributionsGrantsPriorYear
Contributions Grants Current Year640506ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year582InvestmentIncomePriorYear
Investment Income Current Year187InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year594746TotalRevenuePriorYear
Total Revenue Current Year640693TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year299778SalariesEtcPriorYear
Salaries Etc Current Year326817SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year353890OtherExpensePriorYear
Other Expenses Current Year342413OtherExpensesCurrentYear
Total Expenses Prior Year653668TotalExpensesPriorYear
Total Expenses Current Year669230TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-58922RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-28537RevenuesLessExpensesCY
Total Assets BOY118178TotalAssetsBOY
Total Assets EOY120740TotalAssetsEOY
Total Liabilities BOY148425TotalLiabilitiesBOY
Total Liabilities EOY177301TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-30247NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-56561NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE SERVICES TO THE COMMUNITY AND SPONSOR PROGRAMS FOR THE ELDERLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense423773Expense
Revenue422901Revenue
DescriptionFOSTER GRANDPARENT PROGRAM: RECRUITS AND PLACES LOW-INCOME SENIOR VOLUNTEERS AT NON-PROFIT ORGANIZATION TO SERVE YOUTH.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense195690Expense
Revenue217605Revenue
DescriptionRETIRED SENIOR VOLUNTEER PROGRAM: RECRUITS SENIOR VOLUNTEERS TO SERVE WITH LOCAL NON-PROFIT ORGANIZATIONS INCLUDING PROGRAMS OVERSEEN BY THE RSVP DIRECTLY.Description
FieldValueIRS element (for citing)
Total Program Service Expense619463TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRVM COMMUNITY SERVICESNamePerson
Telephone Number5418577780TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11045 ELLENDALEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
DOUG SPANI
Director1.000.00X040000
MARGARET DRESCHER
Director1.000.00X000
NICK PARSONS
Director1.000.00X000
MICHELE JONES
Vice Chair1.000.00000X
PATRICIA NARUS
Treasurer1.000.00000X
PENNY AUSTIN
Secretary1.000.00000X
GREG JONES
Chairman1.000.00000X
BECKY SNYDER
EXECUTIVE DIRECTOR40.000.000956750X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs99675TotalReportableCompFrmRltdOrgs
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations65000RelatedOrganizations
Government Grants519406GovernmentGrants
All Other Contributions56100AllOtherContributions
Noncash Contributions26040NoncashContributions
Total Contributions640506TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column187TotalRevenueColumn
Exclusion$187ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column640693TotalRevenueColumn
Exclusion$187ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total238715Total
Program Services213678ProgramServices
Management And General25037ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total39035Total
Program Services34900ProgramServices
Management And General4135ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total30435Total
Program Services27233ProgramServices
Management And General3202ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18632Total
Program Services16676ProgramServices
Management And General1956ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total386Total
Program Services386ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total20400Total
Program Services19992ProgramServices
Management And General408ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6535Total
Program Services4518ProgramServices
Management And General2017ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1425Total
Management And General1425ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total567Total
Program Services56ProgramServices
Management And General511ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES50384788250
CONTRACT SERVICES1245430519403
IN KIND COSTS-GOODS2604026040
VOLUNTEER EXPENSES259036259036

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10532Total
Program Services9109ProgramServices
Management And General1423ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total669230Total
Program Services619463ProgramServices
Management And General49767ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14693BOY
EOY5679EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY66182BOY
EOY40363EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7800BOY
EOY46045EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5449BOY
EOY3801EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10203LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9375LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2253BOY
EOY828EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21801BOY
EOY24024EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY118178BOY
EOY120740EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY148425BOY
EOY177301EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY148425BOY
EOY177301EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-44888BOY
EOY-71202EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14641BOY
EOY14641EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-30247BOY
EOY-56561EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118178BOY
EOY120740EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-28537ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2223ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years719819CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years646616CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years647691CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year564214CurrentTaxYearMinus1Year
Current Tax Year614466CurrentTaxYear
Total3192806Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years719819CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years646616CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years647691CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year564214CurrentTaxYearMinus1Year
Current Tax Year614466CurrentTaxYear
Total3192806Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5093192806PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1369CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1693CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4952CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year582CurrentTaxYearMinus1Year
Current Tax Year187CurrentTaxYear
Total8783Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1369CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1693CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4952CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year582CurrentTaxYearMinus1Year
Current Tax Year187CurrentTaxYear
Total8783Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47768CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48870CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32409CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29950CurrentTaxYearMinus1Year
Current Tax Year26040CurrentTaxYear
Total185037Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years768956CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years697179CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years685052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year594746CurrentTaxYearMinus1Year
Current Tax Year640693CurrentTaxYear
Total3386626Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94280PublicSupportPercentage509
Prior Year Support Percentage0.93790PriorYearSupportPercentage
Investment Income Percentage0.00260InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00400PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form4720 FiledfalseForm4720Filed

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance21801BeginningOfYearBalance
Investment Earnings Or Losses2223InvestmentEarningsOrLosses
End Of Year Balance24024EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance23186BeginningOfYearBalance
Investment Earnings Or Losses-1385InvestmentEarningsOrLosses
End Of Year Balance21801EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance19763BeginningOfYearBalance
Investment Earnings Or Losses3423InvestmentEarningsOrLosses
End Of Year Balance23186EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18155BeginningOfYearBalance
Investment Earnings Or Losses1608InvestmentEarningsOrLosses
End Of Year Balance19763EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Contributions18155Contributions
End Of Year Balance18155EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.39000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.61000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10203OtherCostOrOtherBasis
Depreciation9375Depreciation
Book Value828BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings828TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionINTEREST IN NET ASSETS OF RVM FOUNDATIONDescription
Book Value24024BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets24024TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt647006TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2223NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities4090DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F9906313RevenueNotRptdF990
Revenue Subtotal640693RevenueSubtotal
Total Revenue Per Form990640693TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt673320TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities4090DonatedServicesUseOfFacilities
Expenses Not Rptd F9904090ExpensesNotRptdF990
Expenses Subtotal669230ExpensesSubtotal
Total Expenses Per Form990669230TotalExpensesPerForm990

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
DescriptionIN-KIND INCOMEDescription
Number Of Contributions5300NumberOfContributions
Noncash Contribs Rptd F99026040NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableALL REQUESTS GO THROUGH THE CORPORATE COUNSEL.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCOMPENSATION IS REVIEWED AND APPROVED BY THE MANAGING ENTITY PACIFIC RETIREMENT SERVICES.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsMANAGEMENT ISSUES POLICY ANNUALLY TO KEY EMPLOYEES AND BOARD MEMBERS.ORGANIZATION'S BOARD REVIEWS AND APPROVES ANNUAL BUDGET.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessTHE FORM 990 IS CURRENTLY BEING REVIEWED BY THE CONTROLLER AND THE OFFICERS OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersSOME DECISIONS OF THE COMMUNITY SERVICES BOARD ARE SUBJECT TO APPROVAL BY PACIFIC RETIREMENT SERVICES.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyPACIFIC RETIREMENT SERVICES CAN APPOINT BOARD MEMBERS TO THE COMMUNITY SERVICES BOARD.
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyTHE ORGANIZATION DELEGATES MANAGEMENT TO PACIFIC RETIREMENT SERVICES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ROGUE VALLEY MANOR
1200 MIRA MAR AVEMEDFORDOR97504930453216SENIOR HOUSINGOR501(C)(3)9PACIFIC RETIREMENT SERVICESfalse
PACIFIC RETIREMENT SERVICES
965 ELLENDALEMEDFORDOR97504931067253SUPPORTING ORGANIZATIONOR501(C)(3)11PACIFIC RETIREMENT SERVICESfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ROGUE VALLEY MANOR
p28634ACTUAL COST
PACIFIC RETIREMENT SERVICES
p412731ACTUAL COST