2024-02-14T16:56:07-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 900 ORLANDO FL 32801 990EZ 2022-01-01 862709490 CONVIVIAL COMMUNITIES INC CONV 9412603928 3799 CADBURY CIRCLE 208 VENICE FL 34293 BRUCE R GRINDROD JR BOARD CHAIR & CEO 9412603928 2024-02-13 1 BRUCE GRINDROD JR 999009999 0 TINA HENTON P00630282 4078021200 2024-02-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X X CONVIVIALLIFE.ORG X X 0 X 0 2625 60938 63563 -63563 -46129 -1750000 -1859692 X 100 100 100 100 46229 1859792 -46129 -1859692 X THE CORPORATION IS ORGANIZED AND WILL BE OPERATED FOR CHARITABLE AND RELIGIOUS PURPOSES IN ACCORDANCE WITH SECTION 501(C)(3), SPECIFICALLY TO SUPPORT ITS SUPPORTED ORGANIZATION. CONVIVIAL LIFE, INC. WILL FURTHER ITS EXEMPT PURPOSES BY (I) BENEFITING AND PERFORMING THE FUNCTIONS OF ITS SUPPORTED ORGANIZATION THROUGH THE CENTRALIZED MANAGEMENT AND ADMINISTRATIVE SERVICES THE CORPORATION PROVIDES AND (II) FURTHERING THE SUPPORTED ORGANIZATION'S EXEMPT PURPOSES BY FREEING ITS RESOURCES AND ALLOWING IT TO CONCENTRATE ONLY ON PROVIDING SERVICES TO ITS ELDERLY RESIDENTS, RATHER THAN HIGH-LEVEL MANAGEMENT AND ADMINISTRATIVE FUNCTIONS. CONVIVIAL COMMUNITIES, INC. (THE CORPORATION) IS A FLORIDA NOT FOR PROFIT CORPORATION INCORPORATED ON MARCH 12, 2021. THE CORPORATION WAS ORGANIZED AND WILL BE OPERATED EXCLUSIVELY FOR CHARITABLE AND RELIGIOUS PURPOSES IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (SECTION 501(C)(3)). THE SPECIFIC PURPOSE FOR WHICH THE CORPORATION IS ORGANIZED AND WILL BE OPERATED IS FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF ITS SUPPORTED ORGANIZATION. 0 0 0 CEDRIC RICHNER AT-LARGE TRUSTEE 1.00 0 0 0 GREG ROBERTS AT-LARGE TRUSTEE 1.00 0 0 0 DR GRETCHEN RAMEY AT-LARGE TRUSTEE (AS OF 10/22) 1.00 0 0 0 BRUCE E GRINDROD JR TRUSTEE, BOARD CHAIR & CEO 1.00 0 0 0 JUDAH RONCH TRUSTEE & VICE CHAIR 1.00 0 0 0 JEFFREY METZGER TRUSTEE, SECRETARY & TREAS 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LIFESTAR LIVING LLC 3799 CADBURY CIR 208 VENICE FL 34293 9412205127 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X 1 CONVIVIAL LIFE INC 862680259 10 1 1750000 0 1 1750000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 0 PART IV, SECTION E TYPE III, LINE 2A SUPPORTED ORGANIZATION - CONVIVIAL LIFE, INC. EIN: 86-2680259 CONVIVIAL LIFE INC. IS SUPPORTED AFTER THE START UP YEARS HAVE BEEN SURPASSED. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: CONSULTANT FEES. AMOUNT: 60,000. DESCRIPTION: INTEREST EXPENSES. AMOUNT: 681. DESCRIPTION: LICENSES & FEES. AMOUNT: 257. TOTAL TO FORM 990-EZ, LINE 16: 60,938. FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS DESCRIPTION: NET ASSET TRANSFER. AMOUNT: -1,750,000. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 46,129. END OF YEAR AMOUNT: 108,754. DESCRIPTION: DUE TO/FROM CONTRACTED ENTITIES. BEG. OF YEAR AMOUNT: 100. END OF YEAR AMOUNT: 357. DESCRIPTION: NOTES PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,750,000. DESCRIPTION: ACCRUED INTEREST. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 681. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.