2014-05-15T15:24:49-05:00 2013-12-31 420946155 HONKAMP KRUEGER & CO PC P O BOX 699 DUBUQUE IA 520040699 990 2013-01-01 421412375 COTTAGE GROVE PLACE COTT 3193632420 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 MARK BAILEY EXECUTIVE DIRECTOR 3193632420 2014-05-12 1 SUSAN M LAWLER CPA P01359997 5635560123 2014-05-12 2013 2015-11-30 17:44:51Z MARK BAILEY 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 13065447 0 X WWW.COTTAGEGROVEPLACE.COM X 1992 IA TO PROVIDE HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RETIREMENT FACILITY 19 19 263 0 0 0 0 0 11860780 13060667 25600 2639 4758935 0 16645315 13063306 0 0 0 0 4833620 5077197 0 0 0 6696786 5678662 11530406 10755859 5114909 2307447 27127419 28282440 44766231 43615305 -17638812 -15332865 TO PROVIDE HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RETIREMENT FACILITY 0 0 8119077 13058526 THE RETIREMENT FACILITIES CONTAIN 166 INDEPENDENT LIVING UNITS, 19 ASSISTED LIVING UNITS, 40 NURSING CARE BEDS, AND 12 MEMORY CARE UNITS FOR ITS RESIDENTS. THERE ARE 227 OF THESE UNITS THAT ARE CURRENTLY OCCUPIED. 8119077 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 50 0 1 263 1 0 0 0 0 0 0 0 0 0 0 X 19 19 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X GREG OLBEKSON 3192975754 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 ROBERT A SEDLACEK TRUSTEE 1.20 X 0 0 0 DOUGLAS HEATH TRUSTEE 1.20 X 0 0 0 HAROLD G SCHAEFER TRUSTEE 1.20 X 0 0 0 RUSSELL H ANTHONY TRUSTEE 1.20 X 0 0 0 WILLIAM S ELLIOTT TRUSTEE 1.20 X 0 0 0 JOHN C WAGOR TRUSTEE 1.20 X 0 0 0 CARL E HALLBERG TRUSTEE 1.20 X 0 0 0 PHIL MORRIS TRUSTEE 1.20 X 0 0 0 KATHY TOBORG TRUSTEE 1.20 X 0 0 0 RALPH H PALMER TRUSTEE 1.20 X 0 0 0 TAD COOPER TRUSTEE 1.20 X 0 0 0 JAN ALTORFER TRUSTEE 1.20 X 0 0 0 ROBERT SILBER TRUSTEE 1.20 X 0 0 0 CRYSTAL USHER TRUSTEE 1.20 X 0 0 0 DON MOSIER TRUSTEE 1.20 X 0 0 0 DAVID BEY TREASURER 1.20 X 0 0 0 BILL JACOBSON CHAIRMAN 1.20 X 0 0 0 DICK HEFT SECRETARY 1.20 X 0 0 0 B D COOPER VICE CHAIRMAN 1.20 X 0 0 0 MARK BAILEY EXECUTIVE DIRECTOR 45.00 X 145517 0 0 GREG OLBEKSON ACCOUNTING DIRECTOR 45.00 X 77797 0 0 MICHELLE MILCOFF MARKETING DIRECTOR 45.00 X 124428 0 0 347742 0 0 1 0 0 0 LIFE CARE SERVICES LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MANAGEMENT 444842 REHABCARE GROUP 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 REHABILITATION 366469 PHELAN'S 728 3RD AVE SE CEDAR RAPIDS IA 52401 CONSTRUCTION 225235 HUNTER CONSTRUCTION CO P O BOX 1826 CEDAR RAPIDS IA 52406 CONSTRUCTION 166827 4 RESIDENT SERVICES 623000 13060667 13060667 13060667 4780 4780 2141 -2141 -2141 -2141 13063306 13058526 0 4780 286683 235977 50706 3808712 3135066 673646 34888 26328 8560 592801 498230 94571 354113 312297 41816 1539 1539 63395 63395 462499 161952 300547 181805 181805 637857 605165 32692 40669 24840 15829 951111 951111 1127978 436189 691789 219327 88789 130538 FOOD 639361 639361 MEDICAL EXPENSE 508531 508531 PROPERTY TAXES 294272 220704 73568 DEPARTMENT SUPPLIES 129590 115525 14065 420728 159012 261716 10755859 8119077 2636782 0 537332 1018843 390266 166636 41703 51740 107715 141224 37591575 14755280 23542051 22836295 2508352 4067702 27127419 28282440 1165029 893392 10837899 10711536 21837857 21334310 10925446 10676067 44766231 43615305 X -17638812 -15332865 -17638812 -15332865 27127419 28282440 X 2307447 -1500 X X 0 1 X 1 0 X 10500854 10443927 11099540 11860780 13058526 56963627 10500854 10443927 11099540 11860780 13058526 56963627 0 0 0 56963627 61226 41427 29008 25600 4780 162041 61226 41427 29008 25600 4780 162041 4758935 4758935 10562080 10485354 11128548 16645315 13063306 61884603 0.92050 0.89660 0.00260 0.00450 X 4016275 4016275 27808427 11069961 16738466 3051734 1407070 1644664 357788 272761 85027 2357351 2005488 351863 22836295 ASSETS LIMITED AS TO USE 1899322 DEFERRED FINANCING EXPENSES 895688 CASH SURRENDER VALUE OF LIFE INSURANCE 456991 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 304697 CONSTRUCTION IN PROGRESS 511004 4067702 REFUNDABLE ENTRANCE FEES 10559233 DEPOSITS 106690 CAPITAL LEASES 10144 10676067 A CITY OF CEDAR RAPIDS IOWA 426004336 0150571AJ 2004-03-01 5310000 COSTS OF 2004 PROJECT-HEALTH CENTER 0 0 0 A 5310000 219785 5090215 2004 0 0 1 1 A 0 0 0 0 1 0 0 A 1 0 0 0 0 0 A 1 FORM 990, PART VI, SECTION A, LINE 2 B D COOPER (VICE CHAIRMAN) IS THE FATHER OF TAD COOPER (TRUSTEE). FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES FOR THE ORGANIZATION ARE HANDLED BY THE MANAGEMENT COMPANY - LIFE CARE SERVICES LLC. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE BOARD AND THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE EVERY YEAR POTENTIAL CONFLICTS WITH BUSINESSES THEY ARE ASSOCIATED WITH. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: INCREASE IN CASH SURRENDER VALUE OF LIFE INSURANCE -1,500. FORM 990, PART XI, LINE 2C THERE WERE NO CHANGES IN THE PROCEDURES FOR THE OVERSIGHT OF THE AUDIT.