2013-08-13T14:42:18-05:00 2012-09-30 411765929 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2011-10-01 411453070 GLENWOOD RETIREMENT HOME FOUNDATION INC GLEN 3206345131 719 SE 2ND STREET GLENWOOD MN 56334 MARY KRUEGER 3206345131 2013-08-09 1 SARAH VOGT P00978242 6122536500 2013-08-02 2011 2016-02-24 21:20:13Z MARY KRUEGER 719 SE 2ND STREET GLENWOOD MN 56334 91441 0 9386 X WWW.GRVILLAGE.ORG X 1983 MN TO SUPPORT THE PROGRAMS OF THE GLENWOOD RETIREMENT VILLAGE. 10 10 0 18 0 0 44740 55836 0 0 5645 2876 30541 27446 80926 86158 8268 1000 0 0 0 0 0 0 106 37751 31535 46019 32535 34907 53623 488697 546682 0 4109 488697 542573 THE GLENWOOD FOUNDATION, INC. EXISTS TO FULFILL THE CALL OF OUR LORD JESUS CHRIST TO SERVE OTHERS WITH A PRIMARY MISSION TO ENHANCE THE QUALITY OF LIFE OF THOSE WE SERVE THROUGH INNOVATIVE HEALTH, HOUSING, SPIRITUAL, AND SOCIAL SERVICES. 0 0 20466 1000 THE GLENWOOD RETIREMENT HOME FOUNDATION IS THE PUBLIC RELATIONS, EDUCATION AND FUND DEVELOPMENT ARM OF THE GLENWOOD VILLAGE CARE CENTER. ALL GIFTS TO THE FOUNDATION ARE DISPERSED THROUGH A GRANT PROCESS MANAGED BY THE BOARD OF DIRECTORS.GRANTS TO THE ORGANIZATION LAST YEAR PROVIDED THE MAINTENANCE OF THE AVIARIES AT THE CARE CENTER AND PARKVIEW COURT, PURCHASED FURNITURE FOR RESIDENT ROOMS, PURCHASED NEW FURNITURE FOR COMMON AREAS, PROVIDED MONEY FOR RESIDENT OUTINGS AND UPKEEP OF THE RESIDENT BUS, AND PUBLISHED THE NEWSLETTER, SENT THREE TIMES A YEAR TO FAMILIES AND AREA RESIDENTS. GRANTS ALSO PROVIDED A DONATION TO THE LOCAL LET'S GO FISHING PROGRAM. 20466 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 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 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 10 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X DEB MOORER 3206345761 719 SE 2ND STREET GLENWOOD MN 56334 X DEB DAHLSENG 0.30 X X 0 0 0 DICK BENSON 0.30 X X 0 0 0 EARL HAUGE 0.30 X X 0 0 0 ROBERT GANDRUD 0.30 X 0 0 0 ROBERT PETERSON 0.30 X 0 0 0 JANE SEGAAR 0.30 X 0 0 0 ARDEN LOEN 0.30 X 0 0 0 JUNE TWEIT 0.30 X 0 0 0 TOM TALLE 0.30 X 0 0 0 SHARON ISDAHL 0.30 X 0 0 0 MARY KRUEGER 38.00 X 0 86263 4767 DEB MOORER 38.00 X 0 39535 7319 0 125798 12086 0 0 0 0 0 11973 43863 55836 2876 2876 26220 0 26220 26220 26220 6509 11973 5283 1226 1226 86158 0 0 30322 1000 1000 4698 1623 3075 2515 2515 2669 405 2264 16883 16883 4109 4109 661 555 106 32535 20466 11963 106 2771 2140 148119 101894 59551 46225 417571 489513 8804 8804 488697 546682 4109 0 4109 X 409474 458481 50075 54944 29148 29148 488697 542573 488697 546682 X 53623 253 X 0 1 0 X 0 X 102124 58053 43043 44740 55836 303796 102124 58053 43043 44740 55836 303796 72430 231366 2413 6580 2337 31865 29096 72291 376087 132046 0.61520 0.67830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29148 29148 27128 2020 29148 26617 511 27128 35793 -9176 26617 1.00000 1 0 40748 40748 28955 26552 2403 9406 9406 0 3557 484 3073 65453 65452 1 46225 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION ONLY RECEIVES THE INTEREST FROM THE FUNDS QUARTERLY, AND THAT GOES INTO THE GENERAL FUND. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE GLENWOOD VILLAGE CARE CENTER, PLAZA AND FOUNDATION ARE ORGANIZED AS MINNESOTA NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). EACH 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 RETIREMENT VILLAGE 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 COMBINED 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. ANNUAL GALA 18482 11973 6509 3783 1500 18482 11973 6509 3783 1500 5283 1226 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS MAY DESIGNATE TWO OR MORE OF THEIR MEMBERS TO CONSTITUTE AN EXECUTIVE COMMITTEE. TO THE EXTENT DETERMINED BY THE BOARD, THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION. THE EXECUTIVE COMMITTEE SHALL ACT ONLY IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD, AND AT ALL TIMES IS SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 DEB DAHLSENG AND ROBERT GANDRUD HAVE A FAMILY RELATIONSHIP. ALL BOARD MEMBERS, MARY KRUEGER, AND DEB MOORER HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE NON-VOTING MEMBERS OF THE CORPORATION SHALL CONSIST OF CHRISTIAN CONGREGATIONS ELECTING TO PARTICIPATE. FIFTY-ONE PERCENT OR MORE OF SUCH CONGREGATIONS SHALL BE AFFILIATED WITH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. VOTING MEMBERS CONSIST OF ALL THE PASTORS OF THE CONGREGATIONS ELECTING TO PARTICIPATE AND AT LEAST TWO LAY-DELEGATES FOR EACH SUCH CONGREGATION. SAID CONGREGATIONS HAVING 200 OR MORE CONFIRMED MEMBERS MAY HAVE ONE ADDITIONAL VOTING MEMBER FOR EACH 100 CONFIRMED MEMBERS OR A MAJOR FRACTION THEREOF OVER THE FIRST 200. FORM 990, PART VI, SECTION A, LINE 7A EACH OF OUR AFFILIATED CHURCHES CHOSE ONE MEMBER TO BE ON THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS VOTE ON CHANGES TO THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CEO AND BUSINESS MANAGER AND IS THEN PRESENTED TO THE BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES AND BOARD MEMBERS ARE COVERED BY THE CONFLICT OF INTEREST POLICY. MANAGEMENT WILL DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, THE INDIVIDUAL WILL REFRAIN FROM PARTICIPATING IN THE DISCUSSION AND VOTE. EACH INDIVIDUAL IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE ORGANIZATION RELIED ON GLENWOOD VILLAGE CARE CENTER, A RELATED ORGANIZATION, TO DETERMINE COMPENSATION FOR ITS CEO AND BUSINESS MANAGER. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: IN ADDITION TO THE HOURS SERVED AT GLENWOOD RETIREMENT HOME FOUNDATION, MARY KRUEGER AND DEB MOORER EACH SERVE 38 HOURS AT THE GLENWOOD RETIREMENT VILLAGE AND 1 HOUR AT THE GLENWOOD PLAZA. THE BOARD OF DIRECTORS SERVE FOR GLENWOOD RETIREMENT VILLAGE, GLENWOOD RETIREMENT HOME FOUNDATION, AND GLENWOOD PLAZA. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFERS BETWEEN RELATED PARTIES. 253. TOTAL TO FORM 990, PART XI, LINE 5: 253. GLENWOOD VILLAGE CARE CENTER INC 719 SE 2ND STREET GLENWOOD MN 56334 410872240 SKILLED NURSING AND ASSISTED LIVING SERVICES. MN 501(C)(3) LINE 7 N/A 1 GLENWOOD PLAZA INC 719 SE 2ND STREET GLENWOOD MN 56334 411477434 INDEPENDENT SENIOR HOUSING. MN 501(C)(3) LINE 9 N/A 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, PART II, COLUMN (F): GLENWOOD PLAZA, INC., GLENWOOD VILLAGE CARE CENTER, INC., AND GLENWOOD RETIREMENT HOME FOUNDATION, INC. HAVE 100% BOARD OVERLAP. THEREFORE, THEY ARE CONSIDERED CONTROLLED AND CONTROLLING ORGANIZATIONS PER SECTION 512(B)(13).