2022-09-13T11:38:49-05:00 2021-10-31 871438555 RYUN GIVENS & COMPANY PC 2900 100TH STREET SUITE 303 URBANDALE IA 50322 990 2020-11-01 420950776 SCOTTISH RITE PARK INC SCOT 5152744614 2909 WOODLAND AVENUE DES MOINES IA 50312 ELIZABETH DAWLEY CFO 5152744614 2022-09-09 1 ELIZABETH DAWLEY 999009999 Kathy A French CPA P02443093 5152253141 2022-09-09 3 AAL1 IAL1 2020 2023-04-26 12:10:37Z DANIEL BOOR 2909 WOODLAND AVENUE DES MOINES IA 50312 10075372 0 X WWW.SCOTTISHRITEPARK.COM X 1973 IA OPERATE AN INDEPENDENT RETIREMENT FACILITY IN A MANNER WHICH PROVIDES RESIDENTS THE FREEDOM OF AN ACTIVE LIFESTYLE IN A GRACIOUS ATTRACTIVE SETTING. IN CASE OF AN ACCIDENT OR ILLNESS, A 24 HOUR HEALTH SERVICES FACILITY OR RESIDENTIAL CARE IS AVAILABLE. SCOTTISH RITE PARK HAS 153 INDEPENDENT LIVING UNITS, 51 DUALLY CERTIFIED ICF/SNF BEDS AND A 25 BED RESIDENTIAL CARE FACITILIY. 9 8 144 20 0 0 887752 155744 9251048 9819138 74555 100490 0 0 10213355 10075372 0 0 0 0 5013443 5700960 0 0 0 4654905 5019971 9668348 10720931 545007 -645559 25028424 26703712 19259222 21528056 5769202 5175656 X OPERATE AN INDEPENDENT RETIREMENT FACILITY IN A MANNER WHICH PROVIDES RESIDENTS THE FREEDOM OF AN ACTIVE LIFESTYLE IN A GRACIOUS ATTRACTIVE SETTING. IN CASE OF AN ACCIDENT OR ILLNESS, A 24 HOUR HEALTH SERVICES FACILITY OR RESIDENTIAL CARE IS AVAILABLE. SCOTTISH RITE PARK HAS 153 INDEPENDENT LIVING UNITS, 51 DUALLY CERTIFIED ICF/SNF BEDS AND A 25 BED RESIDENTIAL CARE FACILITY. 0 0 8770656 9819138 SCOTTISH RITE PARK, INC. OWNS AND OPERATES A 13-STORY, 153 UNIT INDEPENDENT RETIREMENT FACILITY, 25 BED RESIDENTIAL CARE FACILITY AND A 51 BED NURSING UNIT TO PROVIDE RESIDENTS THE FREEDOM OF AN ACTIVE LIFESTYLE, IN A GRACIOUS ATTRACTIVE SETTING. 8770656 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 15 0 1 144 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 1 1 1 0 X ELIZABETH DAWLEY 5152744614 2909 WOODLAND AVENUE DES MOINES IA 50312 MARK ALLEN PRESIDENT 2.00 X X 0 0 0 PAUL CAREY VICE PRESIDENT 2.00 X X 0 0 0 MARK CLARK SECRETARY 2.00 X X 0 0 0 JOHN PITTMAN TREASURER 2.00 X X 0 0 0 JOHN GHRIST DIRECTOR 2.00 X 0 0 0 RICHARD KOCH JR DIRECTOR 2.00 X 0 0 0 RICHARD HEIN DIRECTOR 2.00 X 0 0 0 SUSAN SCHARNBERG DIRECTOR 2.00 X 0 0 0 DONALD WILLIS DIRECTOR 2.00 X 0 0 0 DANIEL BOOR CHIEF EXECUTIVE OFFICER 40.00 X 265486 0 31812 ELIZABETH DAWLEY CHIEF FINANCIAL OFFICER 40.00 X 118535 0 23763 YVONNE ROSENBERG CHIEF NURSING OFFICER 40.00 X 109592 0 30510 493613 0 86085 3 0 1 0 BRICE OWENS 5822 FAIRFAX STREET NORWALK IA 50211 CONSTRUCTION 698000 HR LANCASTER CONSTRUCTION 7865 50TH AVE PROLE IA 50229 CONSTRUCTION 684953 AJ ALLEN MECHANICAL CONTRACTORS 320 SE 6TH ST DES MOINES IA 50309 MECHANICAL SYSTEMS INSTALLATION 424734 MILLENIUM REHAB & CONSULTING 4725 MERLE HAY ROAD SUITE 207 DES MOINES IA 50322 THEREPY SERVICES 335611 MIDWEST AUTOMATIC FIRE SPRINKLER CO 2001 DEWOLF ST DES MOINES IA 50316 FIRE SPRINKLER SYSTEM 205765 5 155744 155744 ROUTINE SERVICES 623000 9819138 9819138 9819138 100490 100490 10075372 9819138 0 100490 493613 493613 4238983 3391406 847577 598641 514272 84369 369723 314886 54837 615843 567358 48485 1330084 1277431 52653 27448 27448 116308 116308 1659295 1659295 123069 52502 70567 FOOD & SUPPLIES 763243 738777 24466 OTHER EXPENSES 310116 133421 176695 PUBLIC RELATIONS 69565 69565 CONTRIBUTIONS 5000 5000 10720931 8770656 1950275 0 2596291 2333934 602594 584818 223182 248645 44108666 24618662 18676894 19490004 2929463 4046311 25028424 26703712 1144871 1431455 15114351 17145989 3000000 2950612 19259222 21528056 X 5196572 4603026 572630 572630 5769202 5175656 25028424 26703712 -645559 52013 0 X 0 0 0 X 109858 82925 71670 887752 155744 1307949 9234086 7788204 9237752 9251048 9819138 45330228 9343944 7871129 9309422 10138800 9974882 46638177 0 0 0 46638177 45184 41854 54725 77500 100490 319753 45184 41854 54725 77500 100490 319753 9389128 7912983 9364147 10216300 10075372 46957930 0.99320 0.99530 0.00680 0.00470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 572630 572630 572630 572630 572630 572630 547169 25461 572630 513450 33719 547169 0 0 101578 101578 44007088 24618662 19388426 19490004 ASSETS LIMITED TO USE 2063858 NOTES RECEIVABLE 1982453 4046311 Part V, Line 4: THE EARNINGS OF ENDOWMENT FUNDS ARE TO SUPPORT THE NURSING FACILITY WHEN DESIGNATED BY THE BOARD OF DIRECTORS. X 1 1 X 0 0 0 0 0 0 0 0 0 DANIEL BOOR CHIEF EXECUTIVE OFFICER 260090 0 5000 0 396 0 9795 0 22017 0 297298 0 0 0 Part I, Line 1a THE ORGANIZATION PROVIDES ON CAMPUS LIVING FOR THE CHIEF EXECUTIVE OFFICER. MARK ALLEN BOARD MEMBER 390989 SCOTTISH RITE PARK DID BUSINESS WITH A COMPANY (AJ ALLEN AND COMPANY) OWNED BY BOARD MEMBER 0 RICHARD KOCH BOARD MEMBER 8947 SCOTTISH RITE PARK DID BUSINESS WITH A COMPANY (KOCH BROTHERS) OWNED BY BOARD MEMBER 0 Form 990, Part VI, Section A, line 8b THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Section B, line 11b THE FORM 990 IS REVIEWED BY MANAGEMENT AND THE TREASURER PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Section B, line 12c THE ORGANIZATION HAS A COMPLIANCE OFFICER THAT MONITORS CONFLICT OF INTEREST COMPLIANCE THROUGH OBSERVATION AND INQUIRY. Form 990, Part VI, Section B, line 15 COMPENSATION FOR THE CEO IS DETERMINED, VOTED ON AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. COMPENSATION FOR ALL OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED AND APPROVED BY THE CEO OF THE ORGANIZATION WITH APPROVAL FROM THE BOARD OF DIRECTORS. Form 990, Part VI, Section C, line 18 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE UPON REQUEST AT ITS OFFICES IN DES MOINES, IOWA. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AT ITS OFFICES IN DES MOINES, IOWA. COPIES WILL BE PROVIDED UPON REQUEST.