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MASONIC AND EASTERN STAR HOME: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MASONIC AND EASTERN STAR HOME (EIN 93-0391591)
Tax period
2009-05-01 to 2010-04-30
Filed
2011-03-14
IRS object ID
201140739349300029
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)
Timestamp2011-03-14T18:06:55-07:00Timestamp
Tax Period End Date2010-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Hansen Hunter & Company PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18930 SW Gemini DriveAddressLine1
CityBeavertonCity
StateORState
ZIP Code97008ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930391591EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Masonic and Eastern Star HomeBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMASONameControl
Phone5033573158Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12150 Masonic WayAddressLine1
CityForest GroveCity
StateORState
ZIP Code97116ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL TEMPLEName
TitleGRAND SECRETARYTitle
Date Signed2011-03-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameCynthia J HeubergerName
Phone5032442134Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonADELLA MACDONALDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12150 MASONIC WAYAddressLine1
CityFOREST GROVECity
StateORState
ZIP Code97116ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10096056GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number1101GroupExemptionNumber
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionThe Masonic and Eastern Star home is a CHARITABLE LONG-TERM CARE FACILITY which provides food, lodging and medicine for its elderly residents.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees201TotalNbrEmployees
Total Nbr Volunteers90TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1355710ContributionsGrantsPriorYear
Contributions Grants Current Year1017320ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7884546ProgramServiceRevenuePriorYear
Program Service Revenue CY7014328ProgramServiceRevenueCY
Investment Income Prior Year-3984206InvestmentIncomePriorYear
Investment Income Current Year1262442InvestmentIncomeCurrentYear
Other Revenue Prior Year25200OtherRevenuePriorYear
Other Revenue Current Year29200OtherRevenueCurrentYear
Total Revenue Prior Year5281250TotalRevenuePriorYear
Total Revenue Current Year9323290TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2262921GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1042426GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4578233SalariesEtcPriorYear
Salaries Etc Current Year4540100SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4033379OtherExpensePriorYear
Other Expenses Current Year3650534OtherExpensesCurrentYear
Total Expenses Prior Year10874533TotalExpensesPriorYear
Total Expenses Current Year9233060TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5593283RevenuesLessExpensesPriorYear
Revenues Less Expenses CY90230RevenuesLessExpensesCY
Total Assets BOY29688754TotalAssetsBOY
Total Assets EOY34004774TotalAssetsEOY
Total Liabilities BOY2263025TotalLiabilitiesBOY
Total Liabilities EOY1370921TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY27425729NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY32633853NetAssetsOrFundBalancesEOY
Mission DescriptionThe Masonic and Eastern Star home is a CHARITABLE LONG-TERM CARE FACILITY which provides food, lodging and medicine for its elderly residents.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7804868Expense
Grants1042426Grants
Revenue7014328Revenue
DescriptionTHE MASONIC AND EASTERN STAR HOME IS IN OPERATION TO PROVIDE FOOD, LODGING, MEDICINE AND OTHER NEEDS FOR ELDERLY RESIDENTS.Description
Total Program Service Expense7804868TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees201NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMasonic and Eastern Star HomeNamePerson
Telephone Number5033573158TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12150 MASONIC WAYAddressLine1
CityFOREST GROVECity
StateORState
ZIP Code97116ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
ADELLA MACDONALD
Executive Direc36.00X97529243820
ROBERT RICHMOND
Chairman1.00X000X
REBECCA PRICE
WORTHY GRD MTRN1.00000X
D ARTHUR BUSH
GRAND MASTER1.00000X
THERESA MCKINLEY
VICE CHAIR1.00X000X
LE BOUSQUET
DEPUTY GRD MSTR1.00000X
CONNIE HARRIS
AS GRAND MATRON1.00000X
RICH MARTIN
SR GRAND WARDEN1.00000X
HUNT COMPTON
JR GRAND WARDEN1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org97529TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs24382TotalReportableCompFrmRltdOrgs
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SodexoBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19801 Washingtonian BoulevardAddressLine1
CityGaithersburgCity
StateMDState
ZIP Code20878ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesFood ServicesDescriptionOfServices
Compensation675622Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Membership Dues56925MembershipDues
Related Organizations264723RelatedOrganizations
All Other Contributions695672AllOtherContributions
Total Contributions1017320TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionIncome from ResidentsDescription
Business Code623000BusinessCode
Total Revenue Column7014328TotalRevenueColumn
Related Or Exempt Function Income7014328RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7014328TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column924739TotalRevenueColumn
Exclusion$924,739ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real29200Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real29200Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29200TotalRevenueColumn
Exclusion$29,200ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1110469Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities772766Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities337703Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column337703TotalRevenueColumn
Exclusion$337,703ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9323290TotalRevenueColumn
Related Or Exempt Function Income7014328RelatedOrExemptFunctionIncome
Exclusion$1,291,642ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1042426Total
Program Services1042426ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total97529Total
Management And General97529ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3556603Total
Program Services3136982ProgramServices
Management And General419621ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total56093Total
Program Services48154ProgramServices
Management And General7939ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total399839Total
Program Services343252ProgramServices
Management And General56587ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total430036Total
Program Services369175ProgramServices
Management And General60861ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total585276Total
Management And General585276ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3671Total
Management And General3671ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33792Total
Management And General33792ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1797Total
Program Services1797ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total60944Total
Management And General60944ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total331402Total
Program Services271170ProgramServices
Management And General60232ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total330656Total
Program Services330656ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2192Total
Management And General2192ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16492Total
Program Services9900ProgramServices
Management And General6592ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total142690Total
Program Services142690ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total174154Total
Program Services174154ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Activities expense5127551275
EQUIPMENT RENTAL & maintenance118679118679
Transportation121038121038
FOOD COSTS395944395944
LEase expense12103221210322

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total70210Total
Program Services37254ProgramServices
Management And General32956ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9233060Total
Program Services7804868ProgramServices
Management And General1428192ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY55639BOY
EOY41060EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY110476BOY
EOY110476EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY333749BOY
EOY190647EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1768930LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1222011LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY524779BOY
EOY546919EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY20949181BOY
EOY25653465EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7714430BOY
EOY7461707EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29688754BOY
EOY34004774EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY362410BOY
EOY435592EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1900615BOY
EOY935329EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2263025BOY
EOY1370921EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY27425729BOY
EOY32633853EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27425729BOY
EOY32633853EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29688754BOY
EOY34004774EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2634955CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2172870CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1401005CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1356007CurrentTaxYearMinus1Year
Current Tax Year1017320CurrentTaxYear
Total8582157Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2634955CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2172870CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1401005CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1356007CurrentTaxYearMinus1Year
Current Tax Year1017320CurrentTaxYear
Total8582157Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1708582157PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2250429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2758596CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2617420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1155022CurrentTaxYearMinus1Year
Current Tax Year953939CurrentTaxYear
Total9735406Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67120CurrentTaxYearMinus4Years
Total67120Total
FieldValueIRS element (for citing)
Total Support18384683TotalSupport
Public Support Pertcentage1700.46680PublicSupportPertcentage170
Public Support Pertcent Prior Year0.43810PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance23581063BeginningOfYearBalance
Contributions73986Contributions
Investment Earnings Or Losses4871698InvestmentEarningsOrLosses
Administrative Expenses9AdministrativeExpenses
End Of Year Balance28526738EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance31377950BeginningOfYearBalance
Contributions334137Contributions
Investment Earnings Or Losses-8127341InvestmentEarningsOrLosses
Administrative Expenses3683AdministrativeExpenses
End Of Year Balance23581063EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis161227OtherCostOrOtherBasis
Depreciation74254Depreciation
Book Value86973BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis897994OtherCostOrOtherBasis
Depreciation719763Depreciation
Book Value178231BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis709709OtherCostOrOtherBasis
Depreciation427994Depreciation
Book Value281715BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings546919TotalOfBookValueLandBuildings
Total Of Book Value Securities25653465TotalOfBookValueSecurities

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionRelated Party AdvanceDescription
Book Value7461707BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets7461707TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Life-care resident liability$926,374
RESIDENT DEPOSITS$8,955
FieldValueIRS element (for citing)
Total Of Amounts935329TotalOfAmounts
Total Revenue9323290TotalRevenue
Total Expenses9233060TotalExpenses
Excess Or Deficit For Year90230ExcessOrDeficitForYear
Net Unrealized GL On Investments5117894NetUnrealizedGLOnInvestments
Total Adjustments5117894TotalAdjustments
Excess Or Deficit Per FS5208124ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14441184TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5117894NetUnrealizedGainsInvestments
Revenue Not Rptd F9905117894RevenueNotRptdF990
Revenue Subtotal9323290RevenueSubtotal
Total Revenue Per Form9909323290TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9233060TotExpensesEtcAuditedFinclStmt
Expenses Subtotal9233060ExpensesSubtotal
Total Expenses Per Form9909233060TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart V, Line 4Identifier
Return ReferencePart V, Line 4: Intended uses of the endowment fund.ReturnReference
ExplanationThe funds are designated by the Board to be used for expenses related to providing care to Life-Care residents.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantAmount Of Cash GrantAmountOfCashGrant
FOOD, CLOTHING AND SHELTER803573
MEDICAL AND HOSPITAL ASSISTANCE198635
DENTAL40218

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Bush ConstructionBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipSon of OfficerRelationship
Amount Of Transaction23926AmountOfTransaction
Description Of TransactionProvided repair servicesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDOCUMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S BUSINESS OFFICE.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesHUMAN RESOURCES DEPARTMENT REVIEWS MARKET COMPARIBILITY STUDIES. THE BOARD OF DIRECTORS REVIEWS EXECUTIVE DIRECTOR PERFORMANCE AND APPROVES PAY INCREASES.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsCONFLICTS ARE REGULARLY MONITORED BY THE BOARD AND BY THE ORGANIZATIONS MANAGEMENT.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessMANAGEMENT REVIEWED THE FORM 990 PRIOR TO FILING. IN FUTURE YEARS, THE INTENT IS TO HAVE THE BOARD REVIEW THE FORM 990.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Bodythe grand lodge may elect five members to the board and the eastern star may elect three.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholderthe members of the masonic and eastern star home are the grand lodge of the ancient free and accepted masons of oregon and the grand chapter of oregon, order of the eastern star.

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 NADirectControllingEntityNA
OR MASONIC CHARITABLE FOUNDATION
2150 MASONIC WAYFOREST GROVEOR97116931264938TRAIN EDUCATORS TO PROVIDE ASSISTANCE TO AT RISK CHILDRENOR501 (C)(3)7N/A
THE GRAND LODGE OF AF AND AM OF OR
2150 MASONIC WAYFOREST GROVEOR97116930177555FRATERNAL ORGANIZATIONOR501(C)10N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
THE GRAND LODGE OF AF AND AM OF OR
r273998
THE GRAND LODGE OF AF AND AM OF OR
l486720
THE GRAND LODGE OF AF AND AM OF OR
j1210322
THE GRAND LODGE OF AF AND AM OF OR
d7461707
THE GRAND LODGE OF AF AND AM OF OR
c244367