STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMUNITY VOLUNTEER NETWORK: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY VOLUNTEER NETWORK (EIN 93-0892261)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-11
IRS object ID
201141319349303069
Schema version
2009v1.4
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)
Timestamp2011-05-11T20:27:56-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930892261EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROGUE VALLEY MANOR COMMUNITY SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlROGUNameControl
Phone5418577854Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 MIRA MAR AVENUEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRIAN MCLEMOREName
TitlePRESIDENTTitle
Phone5418577854Phone
Date Signed2011-05-13DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRIAN MCLEMORENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 MIRA MAR AVEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
Gross Receipts697180GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.RETIREMENT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S EXEMPT PURPOSE IS TO PROVIDE SERVICES AND SPONSOR PROGRAMS FOR THE ELDLERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees13TotalNbrEmployees
Total Nbr Volunteers1014TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year767587ContributionsGrantsPriorYear
Contributions Grants Current Year695487ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1369InvestmentIncomePriorYear
Investment Income Current Year1693InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year768956TotalRevenuePriorYear
Total Revenue Current Year697180TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year354458SalariesEtcPriorYear
Salaries Etc Current Year325934SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year436828OtherExpensePriorYear
Other Expenses Current Year433070OtherExpensesCurrentYear
Total Expenses Prior Year791286TotalExpensesPriorYear
Total Expenses Current Year759004TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-22330RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-61824RevenuesLessExpensesCY
Total Assets BOY155966TotalAssetsBOY
Total Assets EOY125991TotalAssetsEOY
Total Liabilities BOY89578TotalLiabilitiesBOY
Total Liabilities EOY123405TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY66388NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2586NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PRIMARY EXEMPT PURPOSE IS TO PROVIDE SERVICES TO THE COMMUNITY AND SPONSOR PROGRAMS FOR THE ELDLERLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense473721Expense
Revenue174994Revenue
DescriptionFOSTER GRANDPARENTS PROGRAM: HELPS LOW-INCOME ELDERLY PEOPLE SERVE CHILDREN WITH SPECIAL NEEDSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense187028Expense
Revenue225186Revenue
DescriptionRETIRED SENIOR VOLUNTEER PROGRAM: HELPS GIVE ELDERLY PEOPLE JOBS OR TASKS AT COMMUNITY CENTERSDescription
FieldValueIRS element (for citing)
Total Program Service Expense660749TotalProgramServiceExpense
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 Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees13NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RVM COMMUNITY SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5418577854TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 MIRA MAR AVEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BRAD EARL
DIRECTOR1.00X000
MARGARET DRESCHER
DIRECTOR1.00X000
GREG EVAN JONES
DIRECTOR1.00X000
LYN HENNION
PRESIDENT1.00000X
NANCY BREWOLD-JOHNSON
VICE PRESIDENT1.00000X
PENNY AUSTIN
SECRETARY1.00000X
TRISH NARUS
TREASURER1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations49502RelatedOrganizations
Government Grants566921GovernmentGrants
All Other Contributions79064AllOtherContributions
Noncash Contributions48872NoncashContributions
Total Contributions695487TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1693TotalRevenueColumn
Exclusion$1,693ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column697180TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,693ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total231843Total
Program Services173882ProgramServices
Management And General57961ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35264Total
Program Services26448ProgramServices
Management And General8816ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total40908Total
Program Services30681ProgramServices
Management And General10227ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17919Total
Program Services13439ProgramServices
Management And General4480ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18311Total
Program Services13733ProgramServices
Management And General4578ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5259Total
Program Services3944ProgramServices
Management And General1315ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1691Total
Program Services1268ProgramServices
Management And General423ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
VOLUNTEER EXPENSES317114317114
IN-KIND SERVICES4887148871
CONTRACT SERVICES14277107083569
ADMIN EXPENSES1199689982998
SUPPLIES429332201073

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11258Total
Program Services8443ProgramServices
Management And General2815ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total759004Total
Program Services660749ProgramServices
Management And General98255ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY28872BOY
EOY2954EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY84448BOY
EOY84531EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY29862BOY
EOY9840EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6690BOY
EOY4500EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9619LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5216LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6094BOY
EOY4403EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY19763EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY155966BOY
EOY125991EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY84967BOY
EOY113029EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4611BOY
EOY10376EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY89578BOY
EOY123405EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY66388BOY
EOY-12055EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY14641EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66388BOY
EOY2586EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY155966BOY
EOY125991EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Year Minus4 Years692138CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years774862CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years724709CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year719819CurrentTaxYearMinus1Year
Current Tax Year646616CurrentTaxYear
Total3558144Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years692138CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years774862CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years724709CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year719819CurrentTaxYearMinus1Year
Current Tax Year646616CurrentTaxYear
Total3558144Total

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 Total5093558144PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3879CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4776CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5435CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1369CurrentTaxYearMinus1Year
Current Tax Year1693CurrentTaxYear
Total17152Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3879CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4776CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5435CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1369CurrentTaxYearMinus1Year
Current Tax Year1693CurrentTaxYear
Total17152Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46791CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55120CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47768CurrentTaxYearMinus1Year
Current Tax Year48870CurrentTaxYear
Total244185Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years742808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years834758CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years775780CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year768956CurrentTaxYearMinus1Year
Current Tax Year697179CurrentTaxYear
Total3819481Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93160PublicSupportPercentage509
Prior Year Support Percentage0.93230PriorYearSupportPercentage
Investment Income Percentage0.00450InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00480PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9619OtherCostOrOtherBasis
Depreciation5216Depreciation
Book Value4403BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4403TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionINTEREST IN NET ASSETS OF RVM FOUNDATIONDescription
Book Value19763BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets19763TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCOMPENSATED ABSENCES PAYABLEDescription
Amount$10,376Amount
FieldValueIRS element (for citing)
Total Of Amounts10376TotalOfAmounts
Total Revenue697180TotalRevenue
Total Expenses759004TotalExpenses
Excess Or Deficit For Year-61824ExcessOrDeficitForYear
Other-$1,978OtherAmount
Total Adjustments-1978TotalAdjustments
Excess Or Deficit Per FS-63802ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt697180TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal697180RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990697180TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt759004TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal759004ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990759004TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8 - Other Adjustments:Identifier
ExplanationRESTATED OF PRIOR YEAR NET ASSETS: -1978.Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Descriptionin kindDescription
Noncash Contribs Rptd F99048871NoncashContribsRptdF990
Method Of Determining Revenuesfair market valueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 7aPACIFIC RETIREMENT SERVICES CAN APPOINT BOARD MEMBERS TO THE COMMUNITY SERVICES BOARD
Form 990, Part VI, Section A, line 7bSOME DECISIONS OF THE COMMUNITY SERVICES BOARD ARE SUBJECT TO APPROVAL BY PRS
Form 990, Part VI, Section B, line 11THE FORM 990 IS CURRENTLY BEING REVIEWED BY CONTROLLER AND THE BOARD OF DIRECTORS
Form 990, Part VI, Section B, line 12cTHE CORPORATE COUNSEL UPDATES THIS INFORMATION ANNUALLY
THE COMPENSATION IS REVIEWED BY THE BOARD ON ANNUAL BASIS AS PART OF THE BUDGET PROCESS
Form 990, Part VI, Section C, line 18THESE DOCUMENTS ARE AVAILABLE THROUGH A REQUEST TO THE CORPORATE COUNSEL
Form 990, Part VI, Section C, line 19THESE DOCUMENTS ARE AVAILABLE THROUGH A REQUEST TO THE CORPORATE COUNSEL
FORM 990 PART XI LINE 2CPACIFIC RETIREMENT SERVICE'S AUDIT COMMITTEE SELECTS AUDITORS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (45 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
URCAD
1200 Mira Mar AveMedfordOR97504931179254Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services
Holladay Park Plaza
1200 Mira Mar AveMedfordOR97504930513697Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Capitol Lakes
1200 Mira Mar AveMedfordOR97504391412320Senior HousingWI501(c)(3)501(c)(3)Pacific Retirement Services
RVM Foundation
1200 Mira Mar AveMedfordOR97504930712867Public FoundationOR501(c)(3)501(c)(3)Pacific Retirement Services
URCAD Foundation
1200 Mira Mar AveMedfordOR97504931301816Public FoundationCA501(c)(3)501(c)(3)Pacific Retirement Services
Trinity Terrace Foundation
1200 Mira Mar AveMedfordOR97504912162130Public FoundationTX501(c)(3)501(c)(3)Pacific Retirement Services
HPP Foundation
1200 Mira Mar AveMedfordOR97504264529118Public FoundationOR501(c)(3)501(c)(3)Pacific Retirement Services
Mirabella Washington Foundation
1200 Mira Mar AveMedfordOR97504450574348Public FoundationWA501(c)(3)501(c)(3)Pacific Retirement Services
Cascade Manor Foundation Inc
1200 Mira Mar AveMedfordOR97504931330100Public FoundationOR501(c)(3)501(c)(3)Pacific Retirement Services
Capitol Lakes Foundation
1200 Mira Mar AveMedfordOR97504383781089Public FoundationOR501(c)(3)501(c)(3)Pacific Retirement Services
Mira Bella
1200 Mira Mar AveMedfordOR97504342030255Senior HousingWA501(c)(3)501(c)(3)Pacific Retirement Services
Mira Bella South Waterfront
1200 Mira Mar AveMedfordOR97504711016384Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Mira Bella San Francisco Bay
1200 Mira Mar AveMedfordOR97504200428927Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services
FGP RVM Comm SvcsAP
1200 Mira Mar AveMedfordOR97504930892261Community ServicesOR501(c)(3)501(c)(3)Pacific Retirement Services
RSVP
1200 Mira Mar AveMedfordOR97504930892261Community ServicesOR501(c)(3)501(c)(3)Pacific Retirement Services
Ross Knotts
1200 Mira Mar AveMedfordOR97504930864466Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Don Lewis
1200 Mira Mar AveMedfordOR97504930942933Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Foothill
1200 Mira Mar AveMedfordOR97504943136037Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Oak Grove
1200 Mira Mar AveMedfordOR97504943179782Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Valley ViewMyrtle Creek
1200 Mira Mar AveMedfordOR97504943162074Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Pilot Butte
1200 Mira Mar AveMedfordOR97504943163349Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Royal Loto
1200 Mira Mar AveMedfordOR97504943191447Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Klamath View
1200 Mira Mar AveMedfordOR97504943196455Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Larson Creek
1200 Mira Mar AveMedfordOR97504943212537Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Lively OaksGlenridge Terrace
1200 Mira Mar AveMedfordOR97504943194409Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Timber RidgeRVM Reedsport Housing Co
1200 Mira Mar AveMedfordOR97504943212538Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Sierra Vista
1200 Mira Mar AveMedfordOR97504943212540Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services
Kingsley Court
1200 Mira Mar AveMedfordOR97504943247154Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Silverstone
1200 Mira Mar AveMedfordOR97504311520436Senior HousingTX501(c)(3)501(c)(3)Pacific Retirement Services
Pilot Butte II
1200 Mira Mar AveMedfordOR97504943260016Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Fairview Fort Worth II Housing Corp
1200 Mira Mar AveMedfordOR97504311587415Senior HousingTX501(c)(3)501(c)(3)Pacific Retirement Services
Quail Ridge
1200 Mira Mar AveMedfordOR97504311587418Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Meadow Creek RVM Roseburg II
1200 Mira Mar AveMedfordOR97504311587420Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Foothill II
1200 Mira Mar AveMedfordOR97504311662259Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Shasta Point
1200 Mira Mar AveMedfordOR97504311662208Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services
Valley View II RVM Myrtle Creek II (Plaza)
1200 Mira Mar AveMedfordOR97504311715321Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Columbia TerraceRVM Portland
1200 Mira Mar AveMedfordOR97504311780332Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Woodland Heights
1200 Mira Mar AveMedfordOR97504300037898Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Central Point
1200 Mira Mar AveMedfordOR97504300315618Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Magnolia Heights
1200 Mira Mar AveMedfordOR97504900292647Senior HousingTX501(c)(3)501(c)(3)Pacific Retirement Services
Middleton Glen Inc
1200 Mira Mar AveMedfordOR97504911859494Senior HousingWI501(c)(3)501(c)(3)Pacific Retirement Services
Senior Housing of Middleton Inc
1200 Mira Mar AveMedfordOR97504470825736Senior HousingWI501(c)(3)501(c)(3)Pacific Retirement Services
PRS School of Aging Services Inc
1200 Mira Mar AveMedfordOR97504262477424SchoolOR501(c)(3)501(c)(3)Pacific Retirement Services
Corbinton Retirement
1200 Mira Mar AveMedfordOR97504262987036Senior HousingNC501(c)(3)501(c)(3)Pacific Retirement Services
Mirabella Marin
1200 Mira Mar AveMedfordOR97504263800433Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CREST PARK INC
1200 MIRA MAR AVEMEDFORDOR97504931169683hotelORPacific Retirement ServicesC111.00000
RS INC
1200 MIRA MAR AVEMEDFORDOR97504931328250management companyORpacific Retirement ServicesC111.00000
CENTENNIAL INC
1200 MIRA MAR AVEMEDFORDOR97504510554651golf courseORpacific Retirement ServicesC111.00000
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 Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
PACIFIC RETIREMENT SERVICES
L32515
ROGUE VALLEY MANOR FOUNDATION
R49502
ROGUE VALLEY MANOR
L3096