STRATEGY STUDIO / PUBLIC DATA EXPLORER

COTTONWOOD RIDGE APARTMENTS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COTTONWOOD RIDGE APARTMENTS INC (EIN 41-1889334)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-04-17
IRS object ID
201201099349300410
Schema version
2010v3.4
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)
Timestamp2012-04-17T11:36:33-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411889334EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COTTONWOOD RIDGE APARTMENTSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOTTNameControl
Phone5077234500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1712 E COTTONWOOD STAddressLine1
CitySPRINGFIELDCity
StateMNState
ZIP Code560871167ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSHUA JENSENName
TitleCEOTitle
Phone5077234500Phone
Date Signed2012-03-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIM HUNWARDSEN CPAName
Phone6122536500Phone
Date Prepared2012-03-21DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOSHUA JENSENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1712 E COTTONWOOD STAddressLine1
CitySPRINGFIELDCity
StateMNState
ZIP Code560871167ZIPCode
FieldValueIRS element (for citing)
Gross Receipts106281GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SJLHOME.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionHOUSING SERVICES FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year103135ProgramServiceRevenuePriorYear
Program Service Revenue CY105889ProgramServiceRevenueCY
Investment Income Prior Year529InvestmentIncomePriorYear
Investment Income Current Year392InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year103664TotalRevenuePriorYear
Total Revenue Current Year106281TotalRevenueCurrentYear
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 Year2600SalariesEtcPriorYear
Salaries Etc Current Year2679SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year153020OtherExpensePriorYear
Other Expenses Current Year148779OtherExpensesCurrentYear
Total Expenses Prior Year155620TotalExpensesPriorYear
Total Expenses Current Year151458TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-51956RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-45177RevenuesLessExpensesCY
Total Assets BOY833493TotalAssetsBOY
Total Assets EOY782169TotalAssetsEOY
Total Liabilities BOY17847TotalLiabilitiesBOY
Total Liabilities EOY11700TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY815646NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY770469NetAssetsOrFundBalancesEOY
Mission DescriptionNONEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense110911Expense
Revenue105889Revenue
DescriptionCOTTONWOOD RIDGE PROVIDES HOUSING FACILITIES AND SERVICES FOR VERY LOW INCOME ELDERLY RESIDENTS. COTTONWOOD RIDGE CONSISTS OF A 24 UNIT MULTI-FAMILY HOUSING PROJECT. THE ORGANIZATION MEETS THE EMOTIONAL, HOUSING AND PHYSICAL NEEDS OF ITS RESIDENTS. HOME CARE SERVICES ARE OFFERED TO TENANTS THROUGH ST. JOHN LUTHERAN HOME, A RELATED ENTITY.Description
Total Program Service Expense110911TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
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 Stmt1IndependentAuditFinancialStmt
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 Bonds0TaxExemptBonds
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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 Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
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 Line1ROBERT LAMOTEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5077233209TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1201 S COUNTY ROAD 5AddressLine1
CitySPRINGFIELDCity
StateMNState
ZIP Code56087ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RANDY THERKILSEN
CHAIR2.00XX000
DARRIN MEENDERING
VICE CHAIR2.00XX000
KEN KOLL
TREASURER2.00XX000
LARRY PEDERSON
SECRETARY2.00XX000
LARRY BAUMGARDT
DIRECTOR1.00X000
JAN KREIG
DIRECTOR1.00X000
MARK SWIFT
DIRECTOR1.00X000
GILBERT ANDERSON
DIRECTOR1.00X000
PAT RENBERG
DIRECTOR1.00X000
KEN HEMMINGSEN JR
DIRECTOR1.00X000
SHARON BEYER
DIRECTOR1.00X000
JOSHUA JENSEN
CEO2.00X08977011362
ROBERT LAMOTE
CFO2.00X0512849405
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs141054TotalReportableCompFrmRltdOrgs
Total Other Compensation20767TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENDescription
Business Code623000BusinessCode
Total Revenue Column105889TotalRevenueColumn
Related Or Exempt Function Income105889RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue105889TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column392TotalRevenueColumn
Exclusion$392ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column106281TotalRevenueColumn
Related Or Exempt Function Income105889RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$392ExclusionAmount

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total911Total
Management And General911ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1768Total
Management And General1768ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8898Total
Management And General8898ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total33190Total
Program Services9621ProgramServices
Management And General23569ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1408Total
Management And General1408ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6981Total
Program Services2988ProgramServices
Management And General3993ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total27842Total
Program Services27842ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total60Total
Program Services60ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total64579Total
Program Services64579ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total5646Total
Program Services5646ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionLICENSESDescription
Total175Total
Program Services175ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total151458Total
Program Services110911ProgramServices
Management And General40547ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16615BOY
EOY21359EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3616BOY
EOY3318EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3854BOY
EOY2795EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1672486LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec999087LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY737977BOY
EOY673399EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY71431BOY
EOY81298EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY833493BOY
EOY782169EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17847BOY
EOY11700EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17847BOY
EOY11700EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY815646BOY
EOY770469EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY815646BOY
EOY770469EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY833493BOY
EOY782169EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-45177ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93910CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years106417CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99135CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year103135CurrentTaxYearMinus1Year
Current Tax Year105889CurrentTaxYear
Total508486Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93910CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years106417CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99135CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year103135CurrentTaxYearMinus1Year
Current Tax Year105889CurrentTaxYear
Total508486Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509508486PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years476CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year529CurrentTaxYearMinus1Year
Current Tax Year392CurrentTaxYear
Total3848Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years476CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year529CurrentTaxYearMinus1Year
Current Tax Year392CurrentTaxYear
Total3848Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years95325CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years107453CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99611CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year103664CurrentTaxYearMinus1Year
Current Tax Year106281CurrentTaxYear
Total512334Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99250PublicSupportPercentage509
Prior Year Support Percentage0.99150PriorYearSupportPercentage
Investment Income Percentage0.00750InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00850PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1495247OtherCostOrOtherBasis
Depreciation910177Depreciation
Book Value585070BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis94472OtherCostOrOtherBasis
Depreciation88910Depreciation
Book Value5562BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis82767OtherCostOrOtherBasis
Book Value82767BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings673399TotalOfBookValueLandBuildings
Total Revenue106281TotalRevenue
Total Expenses151458TotalExpenses
Excess Or Deficit For Year-45177ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-45177ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt106281TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal106281RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990106281TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt151458TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal151458ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990151458TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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 CONSOLIDATED 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. THE ORGANIZATION'S FEDERAL FORM 990-T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE CEO AND CFO WILL REVIEW THE DRAFT IN DETAIL AND PROVIDE COPIES TO THE BOARD.
THE POLICY CURRENTLY COVERS BOARD MEMBERS AND THE CEO AND CFO. ANNUAL STATEMENTS ARE REVIEWED BY THE CEO. IF A BOARD MEMBER HAS A CONFLICT, THAT INDIVIDUAL MUST REFRAIN FROM VOTING ON THE MATTER.FORM 990, PART VI, SECTION B, LINE 12C
FORM 990, PART VI, SECTION B, LINE 15: THE CEO AND OTHER OFFICERS OF THE ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION WHICH HAS A PROCESS IN PLACE FOR DETERMINING COMPENSATION.
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WOULD BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. EACH REQUEST WOULD BE REVIEWED ON A CASE BY CASE BASIS.FORM 990, PART VI, SECTION C, LINE 19
IN ADDITION TO THE HOURS SERVED AT COTTONWOOD RIDGE APARTMENTS, THE FOLLOWING INDIVIDUALS ALSO SERVED TIME AT ST. JOHN LUTHERAN HOME (SJLH) AND ST. JOHN LUTHERAN FOUNDATION (SJLF): SJLH SJLF DARRIN MEENDERING 2 KEN KOLL 2 1 LARRY PEDERSON 2 1 LARRY BAUMGARDT 1 JAN KRIEG 1 1 MARK SWIFT 1 GILBERT ANDERSON 1 RANDY THERKILSEN 2 PAT RENBERG 1 KEN HEMMINGSEN JR 1 SHARON BEYER 1 JOSHUA JENSEN 40 2 ROBERT LAMOTE 40 2FORM 990, PART VII, SECTION A:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ST JOHN LUTHERAN HOME
201 S COUNTY ROAD 5SPRINGFIELDMN56087410711592SKILLED NURSING CAREMN501(C)(3)509(A)(2)N/A0
ST JOHN LUTHERAN HOME FOUNDATION
201 S COUNTY ROAD 5SPRINGFIELDMN56087363372067SUPPORT ST. JOHN LUTHERAN HOMEMN501(C)(3)509(A)(1)0ST JOHN LUTHERAN HOME
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg