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HUMANGOOD NEVADA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HUMANGOOD NEVADA (EIN 20-0566413)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-09
IRS object ID
201322219349301097
Schema version
2011v1.5
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)
Timestamp2013-08-09T13:04:34-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RK Taylor & AssociatesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12890 North Main St Suite 305AddressLine1
CityWalnut CreekCity
StateCAState
ZIP Code94597ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200566413EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Las Ventanas Retirement CommunityBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLASVNameControl
Phone7023602662Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1c/o 3120 Stoneridge Mall Rd3rd FlAddressLine1
CityPleasantonCity
StateCAState
ZIP Code94588ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePamela S ClaassenName
TitleCFOTitle
Date Signed2013-08-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn M KikuchiName
Phone9259447666Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDavid B FergusonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16120 Stoneridge Mall RdAddressLine1
CityPleasantonCity
StateCAState
ZIP Code94588ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17848918GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.lasventanasretirement.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide quality residential housing for senior citizens along with personal services, assisted living and nursing services.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees194TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18172365ProgramServiceRevenuePriorYear
Program Service Revenue CY17846828ProgramServiceRevenueCY
Investment Income Prior Year13086InvestmentIncomePriorYear
Investment Income Current Year2090InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year18185451TotalRevenuePriorYear
Total Revenue Current Year17848918TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7229098SalariesEtcPriorYear
Salaries Etc Current Year7084354SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16397151OtherExpensePriorYear
Other Expenses Current Year16116704OtherExpensesCurrentYear
Total Expenses Prior Year23626249TotalExpensesPriorYear
Total Expenses Current Year23201058TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5440798RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5352140RevenuesLessExpensesCY
Total Assets BOY81459611TotalAssetsBOY
Total Assets EOY85944689TotalAssetsEOY
Total Liabilities BOY130733089TotalLiabilitiesBOY
Total Liabilities EOY106713300TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-49273478NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-20768611NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide quality residential housing for senior citizens along with personal services, assisted living and nursing services.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense21934738Expense
DescriptionNursing and retirement facility with services ranging from individual retirement living to 24-hour skilled nursing care.Description
Total Program Service Expense21934738TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
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 RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
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 ContributionsfalseDeductibleNonCashContributions
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 With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees194NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPamela ClaassenNamePerson
Telephone Number9259247117TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16120 Stoneridge Mall RdAddressLine1
CityPleasantonCity
StateCAState
ZIP Code94588ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Ruby Vance
Board Member2.00X000
Mike Murphy
Board Member2.00X000
Max Spilka
Board Member2.00X000
Christopher A Vito
Vice Chair2.00X000
Randy Ecklund
Board Member2.00X000
David Dahan
Chairman2.00X000
Ann Lynch
Board Member2.00X000
Pamela S Claassen
CFO2.000376428110399X
David B Ferguson
Pres2.000681987236338X
June Connelly to 613
Exec Dir40.00109496014746X
FieldValueIRS element (for citing)
Total Reportable Comp From Org109496TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1058415TotalReportableCompFrmRltdOrgs
Total Other Compensation361483TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SBA Integrated Marketing
207 W Franklin StRichmondVA23220Marketing692127
Kedney Mktg Svcs
2019 Rosewood DrNeptune BeachFL32266Marketing244051
Aegis Therapies Inc
1000 Fianna WayFort SmithAR72919Nursing1073858
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Resident Services1570892615708926
Amortization of fees21379022137902
FieldValueIRS element (for citing)
Total Program Service Revenue17846828TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2090TotalRevenueColumn
Exclusion$2,090ExclusionAmount

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 Column17848918TotalRevenueColumn
Related Or Exempt Function Income17846828RelatedOrExemptFunctionIncome
Exclusion$2,090ExclusionAmount

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)
Total5902358Total
Program Services5587377ProgramServices
Management And General314981ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total461502Total
Program Services441539ProgramServices
Management And General19963ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total720494Total
Program Services679877ProgramServices
Management And General40617ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total442320Total
Management And General442320ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12731Total
Management And General12731ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76288Total
Program Services40288ProgramServices
Management And General36000ManagementAndGeneral

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)
Total524724Total
Program Services366875ProgramServices
Management And General157849ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total530506Total
Program Services525881ProgramServices
Management And General4625ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62021Total
Program Services49417ProgramServices
Management And General12604ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1523349Total
Program Services1509766ProgramServices
Management And General13583ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total102077Total
Program Services89801ProgramServices
Management And General12276ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total4612236Total
Program Services4612236ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3938301Total
Program Services3938301ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total86158Total
Program Services86158ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Service Contracts48350044673936761
Supplies97033995686413475
Other977702829167148535
Nursing ANS17744521774452

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23201058Total
Program Services21934738ProgramServices
Management And General1266320ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1516719BOY
EOY1570788EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3768939BOY
EOY3221838EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY769820BOY
EOY1409736EOY

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)
BOY11511BOY
EOY22361EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY279475BOY
EOY161738EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis92037689LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16092726LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY68879290BOY
EOY75944963EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1987807BOY
EOY2145907EOY

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)
BOY4246050BOY
EOY1467358EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY81459611BOY
EOY85944689EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13199713BOY
EOY1011508EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY39407983BOY
EOY38331516EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY57794814BOY
EOY67041795EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY10841450BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9489129BOY
EOY328481EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY130733089BOY
EOY106713300EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-49273478BOY
EOY-20768611EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-49273478BOY
EOY-20768611EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY81459611BOY
EOY85944689EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-5352140ReconcilationRevenueExpenses
Reconcilation Other Changes33857007ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12988791CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16670281CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16503789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18172365CurrentTaxYearMinus1Year
Current Tax Year17846828CurrentTaxYear
Total82182054Total

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 Years12988791CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16670281CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16503789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18172365CurrentTaxYearMinus1Year
Current Tax Year17846828CurrentTaxYear
Total82182054Total

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 Total50982182054PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years293090CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167486CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90855CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13086CurrentTaxYearMinus1Year
Current Tax Year2090CurrentTaxYear
Total566607Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years293090CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167486CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90855CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13086CurrentTaxYearMinus1Year
Current Tax Year2090CurrentTaxYear
Total566607Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years156317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46169CurrentTaxYearMinus2Years
Total202486Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13281881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16994084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16640813CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18185451CurrentTaxYearMinus1Year
Current Tax Year17848918CurrentTaxYear
Total82951147Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99070PublicSupportPercentage509
Prior Year Support Percentage0.98150PriorYearSupportPercentage
Investment Income Percentage0.00680InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01560PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis8900000OtherCostOrOtherBasis
Book Value8900000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis81100394OtherCostOrOtherBasis
Depreciation14841493Depreciation
Book Value66258901BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1229406OtherCostOrOtherBasis
Depreciation681146Depreciation
Book Value548260BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis807889OtherCostOrOtherBasis
Depreciation570087Depreciation
Book Value237802BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings75944963TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionTenant DepositsDescription
Amount$328,481Amount
FieldValueIRS element (for citing)
Total Of Amounts328481TotalOfAmounts
Total Revenue17848918TotalRevenue
Total Expenses23201058TotalExpenses
Excess Or Deficit For Year-5352140ExcessOrDeficitForYear
Other$33,857,007OtherAmount
Total Adjustments33857007TotalAdjustments
Excess Or Deficit Per FS28504867ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt51705925TotRevenueEtcAuditedFinclStmt
Other Revenues33857007OtherRevenues
Revenue Not Rptd F99033857007RevenueNotRptdF990
Revenue Subtotal17848918RevenueSubtotal
Total Revenue Per Form99017848918TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23201058TotExpensesEtcAuditedFinclStmt
Expenses Subtotal23201058ExpensesSubtotal
Total Expenses Per Form99023201058TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Gain on restructure of debt, See Sched O $33857007
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesGain on restructure of debt, See Sched O $33857007

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Pamela S Claassen
300923716073898930711732848682771607
David B Ferguson
4909761562773473421708419254918325156277

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Public Finance AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN273866124IssuerEIN
CUSIP Number74442PAH8CUSIPNumber
Date Issued2012-09-10DateIssued
Issue Price37493374IssuePrice
Description Of PurposeRefund issues-11/29/04 (2)DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds37493374TotalProceeds
Amount In Reserve Fund791160AmountInReserveFund
Other Spent Proceeds37493374OtherSpentProceeds
Year Of Subst Completion2007YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Supplement to Schedule D, Part XI ReconciliationDuring the FYE 9/30/12, the debt of Las Ventanas was restructured. As part of the restructuring, all but $2,000,000 of outstanding accrued bond interest and all construction loan interest was forgiven, along with all outstanding accrued management fees and the $5,000,000 contingent liability due to American Baptist Properties (ABP). Further, in connection with the restructuring, ABP terminated the existing ground lease and transferred ownership of the land to Las Ventanas. Additionally, all amounts owing to third parties for development and management services were forgiven. The restructuring and associated forgiveness of liabilities resulted in an extraordinary gain of $33,810,000. As a result of the restructuring, annual contractual obligations of over $5,000,000 were reduced to approximately $2 million that is subject to default.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe governing documents and financial statements are available for inspection upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEvery year, ABHOW and LVRC Directors and Officers are asked to complete a Conflict of Interest disclosure along with a Statement of Commitment. These documents are aimed at informing ABHOW and its affiliated entities of any conflicts that that should be revealed.Duty to Disclose. In connection with any actual or possible conflict of interest, directors and officers must disclose the existence of the Financial Interest and be given the opportunity to disclose all material facts to the directors and members of committees with governing Board delegated powers considering the proposed transaction or arrangement. Determining Whether a Conflict of Interest Exists. After disclosure of the Financial Interest and all material facts, and after any discussion with the Interested Person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. Procedures for Addressing the Conflict of Interest a. An Interested Person may make a presentation at the governing Board or committee meeting, but after the presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. b. The chair of the governing Board or committee shall, if appropriate, appoint a disinterested Person or committee to investigate alternatives to the proposed transaction or arrangement. c. After exercising due diligence, the Board or committee shall determine whether LVRC can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. d. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in LVRC's best interest and for its own benefit and whether it is fair and reasonable to LVRC and shall make its decision as the whether to enter into the transaction or arrangement in conformity with such determination.4. Violations of the Conflicts of Interest Policy a. If the Board or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. b. If, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the Board or committee determines that the member has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessThe Form 990 is reviewed by the CFO and furnished to the Board of Directors prior to filing.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe following transactions require approval by the members:-Merger, consolidation or dissolution of the corporation;-Amendment, repeal, or restatement of the Articles of Incorporation or Bylaws;-Aggregate borrowing for any purpose in excess of $50,000;-Purchase, sale, lease, disposition, hypothecation, exchange, gift, pledge, encumbrance or mortgage of any real property, and of any personal property with a value in excess of $50,000;-Appointment of the independent auditor;Transactions outside the ordinary course of business.Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyAs the sole member of Las Ventanas Retirement Community, Cornerstone Affiliates exercises its direction and control through the appointment of the Board of Directors.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderCornerstone Affiliates is a California nonprofit public benefit corporation exempt under IRC 501(c)(3) and is the sole member of Las Ventanas Retirement Community.Form 990, Part VI, Line 6
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyEffective Janaury 1, 2010, American Baptist Homes of the West, a related entity exempt under IRC 501(c)(3), has been providing management services to Las Ventanas Retirement Community.Form 990, Part VI, Line 3

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
The Terraces Retirement Community
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588860176446CCRC Future DevelopmentCA501(c)(3)509(a)(2)Cornerstone Affiliatesfalse
Terraces at San Joaquin Gardens
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588260650298CCRCCA501(c)(3)509(a)(2)Cornerstone Affiliatesfalse
Pasadena Retirement Community
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588263792336CCRC Future DevelopmentCA501(c)(3)509(a)(2)Cornerstone Affiliatesfalse
Salishan Senior Housing
6120 Stoneridge Mall Road 3rd FlPleasantonCA94588900504991Affordable HousingWA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Boise Retirement Community
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588203659420Continuing care retirement communityCA501(c)(3)509(a)(2)Cornerstonefalse
Good Shepherd Senior Housing
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588262704795Affordable HousingWA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Judson Terrace Lodge
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588770389124Affordable HousingCA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
American Baptist Estates
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588860176446Continuing care retirement communityAZ501(c)(3)509(a)(2)Cornerstonefalse
Cornerstone Affiliates
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588300184304Parent OrganizationCA501(c)(3)509(a)(3)falseN/A
San Leandro Senior Housing Inc
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588912158413Affordable HousingCA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Oak Knolls Haven
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588953497055Affordable HousingCA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Tahoe Senior Plaza Inc
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588943292737Affordable HousingCA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Carmel Senior Housing Inc
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588943085296Affordable HousingCA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Redlands Senior Housing II
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588311539936Affordable HousingCA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Hillcrest Senior Housing Corp
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588760801395Affordable HousingCA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Harborview Properties Inc
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588916086253Affordable HousingWA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Redlands Senior Housing
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588942902763Affordable HousingCA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
American Baptist Homes of Washington
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588911659735Continuing care retirement communityWA501(c)(3)509(a)(2)American Baptist Homes of the Westfalse
Baptist Senior Adult Ministries
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588530204679Support of benevolence needs of residentsDC501(c)(3)509(a)(1)American Baptist Homes of the Westfalse
American Baptist Properties
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588311558961Property Holding CompanyCA501(c)(3)509(a)(3)American Baptist Homes of the Westfalse
American Baptist Homes Fdn of the West
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588237039408Support of nonprofit residential communitiesCA501(c)(3)509(a)(3)American Baptist Homes of the Westfalse
American Baptist Homes of the West
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588941225374Nonprofit residential communitiesCA501(c)(3)509(a)(2)Cornerstonefalse

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Harborview Manor LLLP
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588274507581Aff HousingWACarmel SHfalsefalse
Pacific Meadows Senior Housing
6120 Stoneridge Mall Road 3rd FlPleasantonCA94588271254418HousingCACarmel SHfalsefalse
Tahoe Senior Plaza II
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588HousingCACarmel SHfalsefalse
Valley Vista Senior Housing
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588HousingCACarmel SHfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
Seniority Properties
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588263257075ManagementCACornerstone AffilC Corp1.00000
Seniority Inc
6120 Stoneridge Mall Rd 3rd FlPleasantonCA94588943287180ManagementCAABHOWC Corp1.00000
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg