2011-05-02T11:07:05-05:00 2010-09-30 Eide Bailly LLP 5601 Green Valley Drive Ste 700 Minneapolis MN 554371145 990 2009-10-01 411889334 Cottonwood Ridge Apartments COTT 5077234500 712 E Cottonwood St Springfield MN 560871167 Joshua Jensen 5077234500 2011-04-20 1 Kim Hunwardsen CPA 9529446166 2011-04-21 2009 2016-02-24 21:20:13Z Joshua Jensen 712 E Cottonwood St Springfield MN 560871167 103664 0 X N/A X 1997 MN Housing services for the elderly. 11 11 0 11 0 0 0 99135 103135 476 529 0 99611 103664 0 0 2719 2600 0 0 151340 153020 154059 155620 -54448 -51956 883324 833493 15722 17847 867602 815646 None 0 0 114641 103135 Cottonwood 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. 114641 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 11 11 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 MN X Robert Lamote 5077233209 201 S County Road 5 Springfield MN 56087 X Ron Kleven 2.00 X X 0 0 0 Darrin Meendering 2.00 X X 0 0 0 Ken Koll 2.00 X X 0 0 0 Larry Pederson 2.00 X X 0 0 0 Larry Baumgardt 1.00 X 0 0 0 Jan Kreig 1.00 X 0 0 0 Mark Swift 1.00 X 0 0 0 Judi Weber Thru 110 1.00 X 0 0 0 Randy Therkilsen 1.00 X 0 0 0 Pat Renberg 1.00 X 0 0 0 Pat Sturm Thru 110 1.00 X 0 0 0 Ken Hemmingsen Jr 1.00 X 0 0 0 Sharon Beyer 1.00 X 0 0 0 Robert Lamote 2.00 X 0 50638 9761 Joshua Jensen 2.00 X 0 90675 10442 0 141313 20203 0 0 0 0 0 Resident Service Reven 623000 103135 103135 103135 529 529 103664 103135 0 529 871 871 1729 1729 43672 11962 31710 1886 1886 8896 4570 4326 27455 27455 457 457 52 52 64315 64315 6112 6112 Licenses 175 175 155620 114641 40979 0 9140 16615 3363 3616 3616 3854 1672486 934509 799818 737977 67387 71431 883324 833493 15722 17847 15722 17847 X 867602 815646 867602 815646 883324 833493 X 0 1 1 X 1 1 X 96774 93910 106417 99135 103135 499371 96774 93910 106417 99135 103135 499371 0 0 0 499371 832 1415 1036 476 529 4288 832 1415 1036 476 529 4288 97606 95325 107453 99611 103664 503659 0.99150 0.99180 0.00850 0.00820 X 1495247 848246 647001 94472 86263 8209 82767 82767 737977 103664 155620 -51956 0 -51956 103664 0 103664 0 103664 155620 0 155620 0 155620 Part X: Description of Uncertain Tax Positions Under FIN 48: During 2010, the Organization adopted the provisions of ASC 740-10 (previously Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes). The Organization undergoes an annual analysis of its various tax positions, assessing the likelihood of those positions being upheld upon examination with relevant tax authorities. The implementation of this standard had no material impact on the consolidated financial statements. As of both the date of adoption and as of September 30, 2010, no amounts were recorded as a result of this analysis. If the Organization is subject to interest or penalties on underpaid income taxes, they will be recorded as income tax expense. The Organization believes it is no longer subject to Federal and State tax examinations by tax authorities for years before 2007. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11 The CEO and CFO will review the draft in detail and provide copies to the Board. Form 990, Part VI, Section B, line 12c The policy currently covers board members and the CEO and CFO. Annual statements are reviewed by the CEO. If a conflict exists among a board member, that individual must refrain from voting on the matter. 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. Form 990, Part VI, Section C, line 19 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 VII, Section A: 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 Ron Kleven 2 Darrin Meendering 2 Ken Koll 2 1 Larry Pederson 2 1 Larry Baumgardt 1 Jan Krieg 1 1 Mark Swift 1 Judi Weber 1 Randy Therkilsen 1 Pat Renberg 1 Pat Sturm 1 Ken Hemmingsen Jr 1 Sharon Beyer 1 Joshua Jensen 40 2 Robert Lamote 40 2 St John Lutheran Home 201 S County Road 5 Springfield MN 56087 410711592 skilled nursing care MN 501(C)(3) 509(A)(2) N/A St John Lutheran Home Foundation 201 S County Road 5 Springfield MN 56087 363372067 support St. John Lutheran Home MN 501(C)(3) 509(A)(1) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 St John Lutheran Home