STRATEGY STUDIO / PUBLIC DATA EXPLORER

EPIPHANY SENIOR CITIZENS HOUSING CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
EPIPHANY SENIOR CITIZENS HOUSING CORPORATION (EIN 41-1703162)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-03-29
IRS object ID
201200899349300915
Schema version
2011v1.2
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)
Timestamp2012-03-29T13:59:20-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN450250958EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1800 NICOLLET MALL STE 1300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554027033ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411703162EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EPIPHANY SENIOR CITIZENS HOUSING CORPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEPIPNameControl
Phone7637721042Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 111TH AVE NWAddressLine1
CityCOON RAPIDSCity
StateMNState
ZIP Code55433ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJERRY HARPERName
TitleTREASURERTitle
Phone7637721042Phone
Date Signed2012-03-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIM HUNWARDSEN CPAName
PTINP00484560PTIN
Phone6122536500Phone
Date Prepared2012-03-27DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJERRY HARPERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11800 111TH AVE NWAddressLine1
CityCOON RAPIDSCity
StateMNState
ZIP Code55433ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4925533GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.EPIPHANYSENIORHOUSING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOUSING FOR THE ELDERLY AND TO PROVIDE SERVICES DESIGNED TO MEET THEIR NEEDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees83TotalNbrEmployees
Total Nbr Volunteers23TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1780ContributionsGrantsPriorYear
Contributions Grants Current Year3552ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4461154ProgramServiceRevenuePriorYear
Program Service Revenue CY4821551ProgramServiceRevenueCY
Investment Income Prior Year73010InvestmentIncomePriorYear
Investment Income Current Year100430InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4535944TotalRevenuePriorYear
Total Revenue Current Year4925533TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1818199SalariesEtcPriorYear
Salaries Etc Current Year1870505SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2429702OtherExpensePriorYear
Other Expenses Current Year2518403OtherExpensesCurrentYear
Total Expenses Prior Year4247901TotalExpensesPriorYear
Total Expenses Current Year4388908TotalExpensesCurrentYear
Revenues Less Expenses Prior Year288043RevenuesLessExpensesPriorYear
Revenues Less Expenses CY536625RevenuesLessExpensesCY
Total Assets BOY14389980TotalAssetsBOY
Total Assets EOY14272148TotalAssetsEOY
Total Liabilities BOY15386202TotalLiabilitiesBOY
Total Liabilities EOY14805867TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-996222NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-533719NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE AFFORDABLE, HIGH QUALITY HOUSING AND SERVICES WHICH WILL RESPECT AND ENHANCE THE LIVES OF RESIDENTS AND THOSE WHO ARE MAKING THE TRANSITION TO SENIOR HOUSING AND ASSISTED LIVING FACILITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense992258Expense
Revenue1369908Revenue
DescriptionEPIPHANY SENIOR CITIZENS HOUSING CORPORATION (ESCHC) OWNS AND OPERATES A SENIOR HOUSING COMPLEX CALLED EPIPHANY PINES WITH 107 INDEPENDENT LIVING UNITS LOCATED IN COON RAPIDS, MINNESOTA. EPIPHANY PINES PROVIDES A RENTAL ASSISTANCE GRANT PROGRAM TO ASSIST THOSE UNABLE TO CONTINUE TO PAY THEIR RENT WITHOUT HARDSHIP. EPIPHANY PINES IS LOCATED NEXT TO A WILDLIFE REFUGE AND NATURE PONDS. THERE IS AN OUTDOOR PATIO AND GAZEBO FOR RESIDENTS TO ENJOY THE BEAUTY AND TRANQUILITY. EPIPHANY PINES OFFERS SEVERAL COMMON AREAS WHICH GIVE OPPORTUNITY FOR INDOOR, RELAXED SOCIALIZATION. THE APARTMENTS RANGE FROM 604 TO 1,105 SQUARE FEET, DESIGNED TO MEET ALL RESIDENTS' BUDGET AND LIFESTYLE. AMENITIES OFFERED INCLUDE 24 HOUR SECURITY SYSTEM, EMERGENCY RESPONSE SYSTEM, SCHEDULED ACTIVITIES AND ENTERTAINMENT, TRANSPORTATION FOR SCHEDULED SHOPPING, ONSITE CHAPEL, AND HAIR SALON. IN ADDITION, EPIPHANY PINES ALSO OFFERS MEALS, HOUSEKEEPING, GARAGES, AND GUEST ROOMS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2669211Expense
Revenue3451643Revenue
DescriptionESCHC'S WHOLLY OWNED SUBSIDIARY, EPIPHANY ASSISTED LIVING, LLC (EAL), OWNS AND OPERATES A 67-UNIT ASSISTED LIVING COMPLEX LOCATED ON THE SAME CAMPUS AS EPIPHANY PINES. THE FEDERAL GOVERNMENT PROGRAM, MEDICAID, IS ACCEPTED AT A DISCOUNTED RATE FOR THOSE UNABLE TO PAY FOR THEIR SERVICES. THE STATE PROGRAM, GROUP RESIDENTIAL HOUSING, PAYS FOR RENT, AT A DISCOUNT, FOR THOSE UNABLE TO PAY FOR THEIR RENT. EAL OFFERS A WIDE RANGE OF SERVICES IN A HOMELIKE SETTING WHERE PRIVACY IS RESPECTED AND INDEPENDENCE IS SUPPORTED. SERVICES ARE PLANNED WITH EACH RESIDENT TO REFLECT PERSONAL NEEDS AND CHOICES. RESIDENTS AND THEIR GUESTS CAN VISIT IN ANY OF THE SEVERAL GATHERING ROOMS, RESERVE OUR PRIVATE DINING ROOM FOR SPECIAL OCCASIONS, AND ENJOY LOVELY VIEWS OF THE BEAUTIFULLY LANDSCAPED GROUNDS. AMENITIES OFFERED INCLUDE 24 HOUR ONSITE RESIDENT ASSISTANT STAFFING, EMERGENCY RESPONSE SYSTEM, REGISTERED NURSE ONSITE 40 HOURS PER WEEK & ON CALL 24 HOURS PER DAY, MEDICATION MANAGEMENT, WEEKLY HOUSEKEEPING, RESTAURANT-STYLE DINING, HAIR SALON, AND GENERAL STORE WITH SNACK BAR.WITHIN EAL IS A DISTINCTIVE NEIGHBORHOOD FOR THOSE WITH MEMORY LOSS. OUR SPECIALLY TRAINED STAFF RECOGNIZES THAT THOSE WITH MEMORY LOSS HAVE A VARIETY OF INDIVIDUAL NEEDS, INTERESTS AND ABILITIES. OUR PHILOSOPHY EMPHASIZES ACTIVITY-FOCUSED CARE AND SPECIALLY DESIGNED CARE PACKAGES THAT ENGAGE RESIDENTS IN ACTIVITIES THAT ARE MEANINGFUL TO THEM AS INDIVIDUALS, AND THAT FOCUS ON THEIR STRENGTHS.Description
FieldValueIRS element (for citing)
Total Program Service Expense3661469TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees83NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JULIE EMBRYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7637721043TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11800 111TH AVE NWAddressLine1
CityCOON RAPIDSCity
StateMNState
ZIP Code55433ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
THOMAS JONES
PRESIDENT5.00XX000
JOHN AHO
VICE PRESIDENT2.00XX000
JERRY HARPER
TREASURER5.00XX000
JO ANNE BOCK
SECRETARY2.00XX000
DR RICK BERTIE
DIRECTOR1.00X000
CONNIE CONNOR
DIRECTOR1.00X000
ROBERT FRIIS
DIRECTOR1.00X000
DICK GARDNER
DIRECTOR1.00X000
MARTY GROSS
DIRECTOR1.00X000
MIKE LENTZ
DIRECTOR1.00X000
DR JOHN LOES
DIRECTOR1.00X000
DENIS PLANKERS
DIRECTOR1.00X000
JERRY WRIGHT
DIRECTOR1.00X000
ED BOCK
DIRECTOR1.00X000
KAREN DURBIN
DIRECTOR1.00X000
MARY MCCARTY FROM MAY
EXECUTIVE DIRECTOR45.00X66586021658
TIM MEYER THRU APRIL
ADMINISTRATOR5.00X000
MARK PEDERSON THRU APRIL
REGIONAL MANAGER5.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org66586TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation21658TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NEW HORIZON FOODSBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1211 2ND STREET NWAddressLine1
CityST MICHAELCity
StateMNState
ZIP Code55376ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesDIETARY SERVICESDescriptionOfServices
Compensation220272Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions3552AllOtherContributions
Total Contributions3552TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES62300047579754757975
OTHER INCOME6230006357663576
FieldValueIRS element (for citing)
Total Program Service Revenue4821551TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column100430TotalRevenueColumn
Exclusion$100,430ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4925533TotalRevenueColumn
Related Or Exempt Function Income4821551RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$100,430ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total88244Total
Management And General88244ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1448538Total
Program Services1187237ProgramServices
Management And General261301ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13579Total
Program Services10585ProgramServices
Management And General2994ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total140369Total
Program Services109423ProgramServices
Management And General30946ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total179775Total
Program Services140142ProgramServices
Management And General39633ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total30000Total
Management And General30000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17174Total
Program Services553ProgramServices
Management And General16621ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14935Total
Management And General14935ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5985Total
Management And General5985ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total112760Total
Program Services69008ProgramServices
Management And General43752ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total28787Total
Management And General28787ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total406826Total
Program Services373565ProgramServices
Management And General33261ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14470Total
Management And General14470ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total407766Total
Program Services407766ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4544Total
Program Services896ProgramServices
Management And General3648ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2983Total
Management And General2983ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total899968Total
Program Services899968ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total461724Total
Program Services461724ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total48638Total
Management And General48638ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionBAD DEBTDescription
Total602Total
Program Services602ProgramServices

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total61241Total
Management And General61241ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4388908Total
Program Services3661469ProgramServices
Management And General727439ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY150507BOY
EOY198904EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1645255BOY
EOY1807177EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY192283BOY
EOY160051EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY25796BOY
EOY36941EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14956631LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4890412LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10343743BOY
EOY10066219EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1378994BOY
EOY1369225EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY653402BOY
EOY633631EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14389980BOY
EOY14272148EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY360360BOY
EOY345861EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY14645234BOY
EOY14338462EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY107000BOY
EOY114580EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY273608BOY
EOY6964EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15386202BOY
EOY14805867EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-996222BOY
EOY-533719EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-996222BOY
EOY-533719EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14389980BOY
EOY14272148EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses536625ReconcilationRevenueExpenses
Reconcilation Other Changes-74122ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14255CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4705CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1780CurrentTaxYearMinus1Year
Current Tax Year3552CurrentTaxYear
Total30292Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3952143CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4364498CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4337947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4461154CurrentTaxYearMinus1Year
Current Tax Year4821551CurrentTaxYear
Total21937293Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3958143CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4378753CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4342652CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4462934CurrentTaxYearMinus1Year
Current Tax Year4825103CurrentTaxYear
Total21967585Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year111770CurrentTaxYearMinus1Year
Current Tax Year166927CurrentTaxYear
Total278697Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year111770CurrentTaxYearMinus1Year
Current Tax Year166927CurrentTaxYear
Total278697Total
FieldValueIRS element (for citing)
Public Support Total50921688888PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years112382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56525CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31196CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73010CurrentTaxYearMinus1Year
Current Tax Year100430CurrentTaxYear
Total373543Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years112382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56525CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31196CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73010CurrentTaxYearMinus1Year
Current Tax Year100430CurrentTaxYear
Total373543Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4070525CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4435278CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4373848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4535944CurrentTaxYearMinus1Year
Current Tax Year4925533CurrentTaxYear
Total22341128Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97080PublicSupportPercentage509
Prior Year Support Percentage0.97780PriorYearSupportPercentage
Investment Income Percentage0.01670InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01700PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis575000OtherCostOrOtherBasis
Book Value575000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13280940OtherCostOrOtherBasis
Depreciation4251106Depreciation
Book Value9029834BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis852200OtherCostOrOtherBasis
Depreciation514288Depreciation
Book Value337912BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis248491OtherCostOrOtherBasis
Depreciation125018Depreciation
Book Value123473BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10066219TotalOfBookValueLandBuildings
Total Revenue4925533TotalRevenue
Total Expenses4388908TotalExpenses
Excess Or Deficit For Year536625ExcessOrDeficitForYear
Net Unrealized GL On Investments-74122NetUnrealizedGLOnInvestments
Total Adjustments-74122TotalAdjustments
Excess Or Deficit Per FS462503ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4851411TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-74122NetUnrealizedGainsInvestments
Revenue Not Rptd F990-74122RevenueNotRptdF990
Revenue Subtotal4925533RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9904925533TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4388908TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal4388908ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904388908TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:THE ORGANIZATION IS THE TRUSTEE OF VARIOUS TENANT SECURITY DEPOSITS AND HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS.
PART X:THE ORGANIZATION AND ITS WHOLLY OWNED SUBSIDIARY, HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS ANNUALLY. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. 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 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.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF COON RAPIDS MINNESOTABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN416008573IssuerEIN
CUSIP Number21660NAU0CUSIPNumber
Date Issued2005-09-29DateIssued
Issue Price8753016IssuePrice
Description Of PurposeREFUND ANOKA COUNTY HOUSING & REDEVELOPMENT AUTHORITY SERIES 1999 BONDSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds8753016TotalProceeds
Amount In Reserve Fund801000AmountInReserveFund
Issuance Costs From Proceeds494300IssuanceCostsFromProceeds
Working Capital Expenditures130000WorkingCapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF AT LEAST TWO DIRECTORS AND SUCH OTHER PERSONS AS THE BOARD OF DIRECTORS MAY APPOINT, FROM TIME TO TIME. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, AND THE EXECUTIVE COMMITTEE SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS AND PROVIDE REPORTS TO THE BOARD OF DIRECTORS UPON REQUEST.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAD CONTRACTED WITH HEALTH DIMENSIONS GROUP TO PROVIDE MANAGEMENT OVERSIGHT TO ITS DAY-TO-DAY OPERATIONS. THIS CONTRACT WAS TERMINATED ON APRIL 30, 2011. THE ORGANIZATION IS CURRENTLY UNDER SELF-MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 11THE BUSINESS OFFICE MANAGER DOES A DETAILED REVIEW OF THE DRAFT AND FORWARDS IT TO THE BOARD FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CTHE CURRENT POLICY COVERS ALL BOARD MEMBERS AND COMPANY COMMITTEE MEMBERS. THE EXECUTIVE DIRECTOR REVIEWS DISCLOSURES FOR POTENTIAL CONFLICTS. IF A BOARD MEMBER HAS A CONFLICT THEY MUST ABSTAIN FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15ATHROUGH APRIL, THE ORGANIZATION CONTRACTED WITH HEALTH DIMENSIONS GROUP TO PROVIDE MANAGEMENT SERVICES. THE EXECUTIVE/FINANCE COMMITTEE MEMBERS REVIEWED AND DISCUSSED THE CONTRACT AS WELL AS ANY CONCERNS. RATES WERE COMPARED TO OTHER MANAGEMENT COMPANY QUOTES AND WERE USED IN DETERMINING THE AMOUNT THAT WAS PROPOSED TO THE MANAGEMENT COMPANY. AS OF MAY, THE ORGANIZATION BECAME SELF-MANAGED WITH THE EXECUTIVE DIRECTOR COORDINATING THE MANAGEMENT OF EPIPHANY SENIOR HOUSING CORP AND EPIPHANY ASSISTED LIVING, LLC. THIS IS AN EXEMPT POSITION WITH ANNUAL PERFORMANCE REVIEWS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE MEMBERS MAY PRESENT THEIR DETERMINATION BEFORE THE FULL BOARD BEFORE PROPOSING THE RESULTS OF THE REVIEW TO THE EXECUTIVE DIRECTOR. SALARY IS TO BE DETERMINED BY THE CURRENT WAGE SCALE FOR THIS INDUSTRY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -74,122.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1EPIPHANY ASSISTED LIVING LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11800 111TH AVE NWAddressLine1
CityCOON RAPIDSCity
StateMNState
ZIP Code55433ZIPCode
FieldValueIRS element (for citing)
EIN411703162EIN
Primary ActivitiesASSISTED LIVINGPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Total Income3480966TotalIncome
EOY Assets8519608EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1EPIPHANY SENIOR CITIZENS HOUSING CORPORATIONBusinessNameLine1