2012-11-14T13:40:32-06:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2011-01-01 410873335 ASSUMPTION HOME INC ASSU 3206853693 715 NORTH 1ST STREET COLD SPRING MN 56320 JAN LUTHENS 3206853693 2012-11-13 1 GORDON J VETSCH P00047306 6123764500 2011 2016-02-24 21:20:13Z JAN LUTHENS 715 NORTH 1ST STREET COLD SPRING MN 56320 7107773 0 0928 X WWW.ASSUMPTIONHOME.ORG X 1963 MN PROVIDING A CONTINUUM OF HEALTH AND RESIDENTIAL SERVICES IN A CHRISTIAN ENVIRONMENT. 11 11 294 160 0 0 36309 77627 7365184 6944932 46813 69945 12559 8164 7460865 7100668 0 0 0 0 4089123 3943578 0 0 0 3281251 3487128 7370374 7430706 90491 -330038 20432943 20200250 14991024 15164788 5441919 5035462 PROVIDING A CONTINUUM OF HEALTH AND RESIDENTIAL SERVICES IN A CHRISTIAN ENVIRONMENT. 0 0 5614430 0 5521135 ASSUMPTION HOME, INC., OPERATES AN 82-BED LONG-TERM HEALTH CARE FACILITY IN COLD SPRING, MN, WHICH PROVIDES CARE TO RESIDENTS ON A DAILY BASIS. 1180540 0 1423797 OPERATION OF A 59-UNIT APARTMENT COMPLEX ADJACENT TO ASSUMPTION HOME. INCLUDED ARE BOTH CONGREGATE SENIOR HOUSING AND HOUSING WITH SERVICES. THESE UNITS PROVIDE HOUSING FOR OLDER ADULTS IN A SAFE AND SECURE ENVIRONMENT. 6794970 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 11 0 294 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X X BRENDA WELLER 3206853693 715 NORTH 1ST STREET COLD SPRING MN 56320 X DALE JOB 1.00 X 0 0 0 ROXANNE DORWEILER 1.00 X 0 0 0 JUDY KEARIN 1.00 X 0 0 0 REV CLETUS CONNORS 1.00 X 0 0 0 MARY WENNER 1.00 X 0 0 0 DOROTHY PFLIPSEN 1.00 X 0 0 0 SISTER JUDY SCHAFFER 1.00 X 0 0 0 DON EIKMEIER 1.00 X 0 0 0 RICHARD KRUEGER 1.00 X 0 0 0 ADAH EBELING 1.00 X 0 0 0 RON PAUSER 1.00 X 0 0 0 JAN LUTHENS 31.00 X 88742 0 10492 88742 0 10492 0 0 0 0 CONLON CONSTRUCTION PO BOX 247 ST CLOUD MN 56302 REMODELING 1143209 CLIFTONLARSONALLEN LLP PO BOX 86 MINNEAPOLIS MN 55486 ACCOUNTING 119135 2 77627 77627 RESIDENT SERVICES 623000 5233152 5233152 OTHER SERVICES 623000 971388 971388 APARTMENT REVENUE 623000 740392 740392 6944932 40052 40052 2625 0 2625 2625 2625 29893 0 29893 29893 29893 11896 0 7105 4791 4791 VENDING MACHINE 722210 748 748 748 7100668 6944932 0 78109 99234 99234 3308907 3246949 61958 70415 67810 2605 176839 141189 35650 288183 241636 46547 413379 68907 344472 56533 3547 52986 8968 8968 256935 238351 18584 10798 3698 7100 875679 872566 3113 682338 679912 2426 163851 159139 4712 FOOD 310956 310956 LICENSES 259619 258769 850 SUPPLIES 224779 209177 15602 REPAIRS 106841 106461 380 116452 86669 29783 7430706 6794970 635736 0 365104 355981 968833 1042432 953498 746405 8084 14251 19936825 5827678 13486757 14109147 1083565 1058288 3567102 2873746 20432943 20200250 984910 1405431 13422618 13485391 33573 32987 217476 177558 332447 63421 14991024 15164788 X 5441919 5035462 5441919 5035462 20432943 20200250 X -330038 -76419 X 0 1 1 X 0 X 34589 49292 50693 39309 77627 251510 6521487 6875864 7086337 7365184 6944932 34793804 6556076 6925156 7137030 7404493 7022559 35045314 0 0 0 35045314 118881 95189 64410 51594 40052 370126 118881 95189 64410 51594 40052 370126 4091 3662 9474 7522 8164 32913 6679048 7024007 7210914 7463609 7070775 35448353 0.98860 0.98580 0.01040 0.01330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 196008 1927 197935 192991 3017 196008 188463 4528 192991 178846 6621 188439 0.00000 1.00000 0.00000 0 0 483018 483018 17248249 4234955 13013294 120852 82697 38155 2084706 1510026 574680 14109147 BOND ISSUANCE COSTS 354565 BOND INDENTURE AGREEMENTS 1847009 RESIDENT TRUST FUNDS 5708 SECURITY DEPOSITS 27279 DUE FROM RELATED PARTY 634158 ACCURED INTEREST RECEIVABLE 5027 2873746 RESIDENT TRUST FUNDS PAYABLE 52471 DUE TO RELATED PARTY 10950 63421 7100668 7430706 -330038 -76419 -76419 -406457 6944932 -76419 -76419 7021351 79317 79317 7100668 7430706 0 7430706 0 7430706 PART IV, LINE 2B: THE ORGANIZATION HOLDS IN TRUST, SECURITY DEPOSITS ADVANCED BY THE TENANTS OF ASSUMPTION COURT. THE ORGANIZATION RECORDS THESE DEPOSITS, PLUS 1% SIMPLE INTEREST, AS A LIABILITY. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUND WILL BE USED FOR CAPITAL AND OPERATING OF ASSUMPTION HOME AFTER FULLY VESTED. THE ORGANIZATION IS A MINNESOTA NONPROFIT CORPORATION THAT IS EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS A CHARITABLE TAX DEDUCTION BY THE DONOR. THE ORGANIZATION FOLLOWS THE APPLICABLE PROVISIONS OF FASB ASC 740-10 REGARDING ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATION RETURNS AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATION'S 2008, 2009 AND 2010 TAX YEARS ARE OPEN TO EXAMINATION BY THE IRS. CITY OF COLD SPRING MINNESOTA 416005064 193024AS5 2005-03-31 6550000 REFUND SERIES 1996 BONDS & FACILITY CONSTRUCTION 0 0 0 CITY OF COLD SPRING MINNESOTA 416005064 193014AM9 2008-10-29 7987331 FACILITY CONSTRUCTION 0 0 0 710000 6550000 535168 131000 3793439 2090393 2005 0 0 0 1 7987331 600082 159746 7227503 2008 0 0 0 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 X FORM 990, PART VI, SECTION A, LINE 1 THREE DIRECTORS - THE PASTOR AND TWO TRUSTEES OF ST. BONIFACE CATHOLIC CHURCH, COLD SPRING, MN - ALSO SERVE AS MEMBERS OF THE ORGANIZATION. AS MEMBERS, THESE THREE INDIVIDUALS HAVE THE POWER TO PROPOSE AND VOTE ON THE APPOINTMENT OF THE OTHER EIGHT DIRECTORS. ADDITIONALLY, THESE SAME THREE DIRECTORS/MEMBERS HAVE THE POWER TO DISCHARGE ANY DIRECTOR THROUGH A MAJORITY VOTE OF THE FIVE MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION ARE AS FOLLOWS: 1. THE BISHOP OF THE DIOCESE OF ST. CLOUD, OR THE PERSON WHO, IN HIS STEAD, EXERCISES ORDINARY JURISDICTION OVER THE SPIRITUAL AND TEMPORAL AFFAIRS OF THE DIOCESE OF ST. CLOUD, IN ACCORDANCE WITH THE LEGISLATION OF THE ROMAN CATHOLIC CHURCH; 2. THE VICAR GENERAL OF THE DIOCESE OF ST. CLOUD, WHO HAS BEEN APPOINTED TO BE A MEMBER EX-OFFICIO OF THE CORPORATION OF THE DIOCESE OF ST. CLOUD. IN THE EVENT OF A VACANCY IN THE OFFICE OF THE BISHOP, OR IN THOSE CASES IN WHICH THE VICAR GENERAL'S OFFICE CEASES, THEN AND IN SUCH EVENT THE PERSON WHO WAS THE VICAR GENERAL SHALL CONTINUE TO BE A MEMBER EX-OFFICIO OF THIS CORPORATION WITH ALL THE RIGHTS AND POWERS INCIDENT THERETO, BUT HIS MEMBERSHIP SHALL CEASE AT ONCE WHEN THE OFFICE OF VICAR GENERAL HAS BEEN FILLED; 3. THE PASTOR OF ST. BONIFACE CATHOLIC CHURCH, COLD SPRING, MINNESOTA; 4. THE TWO TRUSTEES OF ST. BONIFACE CATHOLIC CHURCH, COLD SPRING, MINNESOTA, WHICH HAVE BEEN DESIGNATED AS THE TRUSTEES OF SAID PARISH PURSUANT TO THE PROVISIONS OF SECTION 315.15 OF THE MINNESOTA STATUTES, AND THEIR SUCCESSORS. FORM 990, PART VI, SECTION A, LINE 7A EIGHT OF THE DIRECTORS ARE ELECTED BY THE MEMBERS OF THE CORPORATION AND SHALL SERVE IN THAT CAPACITY AT THE PLEASURE OF THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B CHANGES IN THE BYLAWS AND ARTICLES OF INCORPORATION REQUIRE BOARD OF DIRECTOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM AND IS REVIEWED BY BOTH THE ADMINISTRATOR AND THE DIRECTOR OF FINANCE. AFTER THEIR REVIEW, THE 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS. THE ADMINISTRATOR ANNUALLY REVIEWS THE BOARD MEMBERS' ASSOCIATIONS FOR CONFLICTS OF INTEREST. THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE ADMINISTRATOR'S ASSOCIATIONS FOR CONFLICTS OF INTEREST. IF A CONFLICT ARISES, DEPENDING ON THE CIRCUMSTANCES, THE CONFLICTED INDIVIDUAL ABSTAINS FROM VOTING, STEPS DOWN FROM THE BOARD OR TERMINATES THEIR ASSOCIATION WITH THE OTHER PARTY. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS USES COMPARABILITY DATA ANNUALLY TO ENSURE THAT THE COMPENSATION FOR THE ADMINISTRATOR IS FAIR. DETERMINATION OF COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION IS DONE USING MN AGING COMPARISON REPORTS. THE LAST ADMINISTRATOR REVIEW WAS PERFORMED IN 2011. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. SHARED HOURS FORM 990 PART VII JAN LUTHENS, ADMINISTRATOR, SHARES HER TIME BETWEEN ASSUMPTION COMMUNITY SERVICES, INC. AS WELL AS ITS RELATED ORGANIZATIONS, WORKING ON AVERAGE 40 HOURS A WEEK. THE BREAKDOWN OF HER TIME ON A WEEKLY BASIS IS AS FOLLOWS: ASSUMPTION HOMES, INC. - 31 HOURS ASSUMPTION COMMUNITY SERVICES, INC. - 5 HOURS PIONEER HOUSING DEVELOPMENT, INC. - 4 HOURS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -76,419. PIONEER HOUSING DEVELOPMENT INC 200 8TH AVENUE NORTH COLD SPRING MN 56320 411367392 HOUSING MN 501(C)(3) 9 N/A 0 ASSUMPTION COMMUNITY SERVICES 715 1ST ST NORTH COLD SPRING MN 56320 800276405 HOME CARE SERVICES MN 501(C)(3) 9 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0