STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

LIVING SERVICES FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LIVING SERVICES FOUNDATION (EIN 41-1936717)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201101369349304645
Schema version
2009v1.7
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)
Timestamp2011-05-16T14:39:55-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411936717EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Living Services FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIVINameControl
Phone7632310410Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 Long Lake Road No 130AddressLine1
CityNew BrightonCity
StateMNState
ZIP Code55112ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJennifer KamstraName
Titlechief operating officerTitle
Phone7632310410Phone
Date Signed2011-05-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn RacekName
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDennis KamstraNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1900 LONG LAKE ROADAddressLine1
CityNEW BRIGHTONCity
StateMNState
ZIP Code55112ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19295589GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.lsfdn.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE SERVICES AND HOUSING TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees651TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year19615ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12761445ProgramServiceRevenuePriorYear
Program Service Revenue CY18536285ProgramServiceRevenueCY
Investment Income Prior Year39491InvestmentIncomePriorYear
Investment Income Current Year19626InvestmentIncomeCurrentYear
Other Revenue Prior Year666210OtherRevenuePriorYear
Other Revenue Current Year720063OtherRevenueCurrentYear
Total Revenue Prior Year13467146TotalRevenuePriorYear
Total Revenue Current Year19295589TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7849232SalariesEtcPriorYear
Salaries Etc Current Year11537717SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6446412OtherExpensePriorYear
Other Expenses Current Year8808519OtherExpensesCurrentYear
Total Expenses Prior Year14295644TotalExpensesPriorYear
Total Expenses Current Year20346236TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-828498RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1050647RevenuesLessExpensesCY
Total Assets BOY29770519TotalAssetsBOY
Total Assets EOY28324855TotalAssetsEOY
Total Liabilities BOY28309071TotalLiabilitiesBOY
Total Liabilities EOY27918241TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1461448NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY406614NetAssetsOrFundBalancesEOY
Mission DescriptionThe Foundation is organized and shall be operated exclusively for charitable purposes within the meaning of Sections 170(c)(2), 501(c)(3), and 2055(a) of the Internal Revenue Code of 1986 as amended ("the Code"). Within the limitations established by the preceding sentence, the Foundation is organized and shall be operated to own, maintain, operate and conduct directly or indirectly, housing and long term care facilities for the elderly and to assist and coordinate activities of facilities for health care, social services, education and research, and to do any and all other acts and things and exercise any and all other rights and powers which may be reasonably necessary, incidental, desirable, or expedient in the accomplishment of such purposes.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense17863883Expense
Revenue18536285Revenue
DescriptionHEALTHCARE SERVICES AND HOUSING TO ELDERLY IN APARTMENT, ASSISTED LIVING, AND HEALTHCARE CENTER UNITS FOR OVER 100 RESIDENTS AND OVER 2OO SENIORS. SERVICES ARE LICENSED BY VARIOUS GOVERNMENTAL AGENCIES.Description
Total Program Service Expense17863883TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Required1ScheduleJRequired
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees651NumberOfEmployees
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
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
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 Line1JENNIFER KAMSTRABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7632310410TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 Long Lake Road Suite 130AddressLine1
CityNew BrightonCity
StateMNState
ZIP Code55112ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Rod Pakonen
Board chair5.00XX4800000
PAUL SAUNDERS
treasurer5.00XX4800000
robert SUNDBERG
board member5.00X4800000
Dennis Kamstra
CEO40.00X288000012851
Jennifer Kamstra
COO40.00X9000006044
FieldValueIRS element (for citing)
Total Reportable Comp From Org522000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation18895TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
benedictine health systems
1995 east rum river drive southcambridgeMN55008Management Services1393729
a'viands food and services management
1751 county road b westrosevilleMN55113food services380512
us food services
280 grand avenue eastst paulMN55075food services199904
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions19615AllOtherContributions
Total Contributions19615TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column18536285TotalRevenueColumn
Related Or Exempt Function Income18536285RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18536285TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19626TotalRevenueColumn
Exclusion$19,626ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
apartments revenue623990327879$327,879
rental revenue623990210082$210,082
MISCEllaneous revenue623990148082$148,082

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column34020TotalRevenueColumn
Exclusion$34,020ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue720063TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19295589TotalRevenueColumn
Related Or Exempt Function Income18536285RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$739,689ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total522895Total
Program Services522895ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9075629Total
Program Services8731289ProgramServices
Management And General344340ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1144924Total
Program Services1091908ProgramServices
Management And General53016ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total794269Total
Program Services757490ProgramServices
Management And General36779ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total672504Total
Management And General672504ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8354Total
Management And General8354ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12021Total
Management And General12021ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total381957Total
Program Services381957ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total82664Total
Management And General82664ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2503645Total
Program Services2310584ProgramServices
Management And General193061ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total216074Total
Management And General216074ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total289305Total
Program Services70403ProgramServices
Management And General218902ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total86370Total
Management And General86370ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1530268Total
Program Services1459408ProgramServices
Management And General70860ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1350170Total
Program Services1287650ProgramServices
Management And General62520ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total149329Total
Program Services142414ProgramServices
Management And General6915ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
License Surchage600934600934
Food484748484748
Uncollectible Accounts148824148824
RepAIRS & MAINTENANCE29803222037600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total261549Total
Management And General261549ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20346236Total
Program Services17863883ProgramServices
Management And General2482353ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1305716BOY
EOY1001335EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY23578BOY
EOY37018EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2523501BOY
EOY2570172EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76822BOY
EOY111938EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24870326LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2608028LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23200839BOY
EOY22262298EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2640063BOY
EOY2342094EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29770519BOY
EOY28324855EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2304683BOY
EOY2377817EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY9760000BOY
EOY9575000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY17831BOY
EOY18290EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY16178403BOY
EOY15896572EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY48154BOY
EOY50562EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28309071BOY
EOY27918241EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1457211BOY
EOY386949EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4237BOY
EOY19665EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1461448BOY
EOY406614EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29770519BOY
EOY28324855EOY
FieldValueIRS element (for citing)
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 Year19615CurrentTaxYear
Total19615Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1283194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9309365CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10977151CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12761445CurrentTaxYearMinus1Year
Current Tax Year18536285CurrentTaxYear
Total52867440Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1283194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9309365CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10977151CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12761445CurrentTaxYearMinus1Year
Current Tax Year18555900CurrentTaxYear
Total52887055Total

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 Total50952887055PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years40113CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2796245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39491CurrentTaxYearMinus1Year
Current Tax Year19626CurrentTaxYear
Total2895475Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years40113CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2796245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39491CurrentTaxYearMinus1Year
Current Tax Year19626CurrentTaxYear
Total2895475Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years80173CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years384079CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year666210CurrentTaxYearMinus1Year
Current Tax Year720063CurrentTaxYear
Total1850525Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1283194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9429651CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14157475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13467146CurrentTaxYearMinus1Year
Current Tax Year19295589CurrentTaxYear
Total57633055Total
FieldValueIRS element (for citing)
Public Support Percentage5090.91770PublicSupportPercentage509
Prior Year Support Percentage0.89550PriorYearSupportPercentage
Investment Income Percentage0.05020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.07500PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part II, Line 12, Explanation of Other Income: Other IncomeGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis684599OtherCostOrOtherBasis
Book Value684599BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22888646OtherCostOrOtherBasis
Depreciation2144791Depreciation
Book Value20743855BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1228251OtherCostOrOtherBasis
Depreciation432093Depreciation
Book Value796158BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis68830OtherCostOrOtherBasis
Depreciation31144Depreciation
Book Value37686BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22262298TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT TRUST FUND19072
DEFERRED FINANCING COSTS888641
bond funds1170331
escrow fund14050
CERTIFICATES OF DEPOSIT - RESTRICTED250000
FieldValueIRS element (for citing)
Total Book Value Other Assets2342094TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAsset Retirement ObligationDescription
Amount$50,562Amount
FieldValueIRS element (for citing)
Total Of Amounts50562TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart IV, Line 2b:Identifier
ExplanationThe organization holds in trust resident funds. Residents withdraw funds as needed from their resident trust account.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Dennis KamstraBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org288000BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org288000TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of SpicerBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN204504668IssuerEIN
CUSIP Number84844vaj4CUSIPNumber
Date Issued2006-12-28DateIssued
Issue Price9850000IssuePrice
Description Of Purposefinance acquisitionDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds9460519TotalProceeds
Amount In Reserve Fund712522AmountInReserveFund
Issuance Costs From Proceeds194353IssuanceCostsFromProceeds
Capital Expenditures8453643CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property1OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed1Form8038TFiled
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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part III, line 3Changes in Program ServicesThe organization sold a Class A license and home health business line. The organization no longer operates any home health services.
Form 990, Part VI, Section A, line 2dennis kamstra - jennifer kamstra - Family relationship
Form 990, Part VI, Section A, line 3Living Services Foundation has all their properties managed by Benedictine Health Systems.
Form 990, Part VI, Section B, line 11all members of the board receive an electronic draft and are given the opportunity to review the 990 and give approval prior to filing.
Form 990, Part VI, Section B, line 12cthe conflict of interest policy is enforced and consistently monitored. An interested person must disclose the existence of their financial interest to the board considering the proposed transaction or arrangement. The remaining board members then determine if a conflict of interest exists. Corrective action is taken by the board of directors as deemed necessary when a conflict of interest is determined to have occurred.
Form 990, Part VI, Section B, line 15the process for determining compensation for officers is determined by a compensation survey and study that is done annually with the last review taking place in 2008. The compensation must then be approved by the board of directors.
Form 990, Part VI, Section C, line 19The organization makes available to the public their governing documents, conflict of interest policy and financial statements upon request.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LIVING SERVICES FOUNDATIONMORA LLC
110 north 7th streetmoraMN55051263614974skilled nursing facility, assisted living facilityDE64408347537623living services foundation
LIVING SERVICES FOUNDATIONNEW LONDON LLC
100 glen oaks driveNew londonMN56273204504668skilled nursing facility, assisted living, independent livingDE602552010993658living services foundation
Living services FoundationWinsted LLC
551 4th street northwinstedMN55395208684862skilled nursing facility, assisted living facilityDE68053259668214living services foundation
lIVING SERVICES FOUNDATIONminneota LLC
900 Long Lake Road Suite 130new BrightonMN55112263614760FUNDRAISINGDEliving services foundation