2024-05-15T11:36:00-05:00 2023-06-30 910189318 MOSS ADAMS LLP 999 THIRD AVENUE SUITE 2800 SEATTLE WA 98104 990 2022-07-01 912146011 PROVAIL - AFFILIATES KING & SNOHOMISH COUNTIES PROV 2063637303 12550 AURORA AVE N SEATTLE WA 98133 MICHAEL J HATZENBELER CEO 2063637303 2024-05-14 1 MICHAEL HATZENBELER 999009999 1 EMINA O CRESSWELL CPA P01217304 2063026500 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL J HATZENBELER 12550 AURORA AVE N SEATTLE WA 98133 61223 1 1 8132 X WWW.PROVAIL.ORG X 1942 WA THE AFFILIATED ENTITIES EXIST FOR THE PURPOSE OF COMPLYING IN ALL RESPECTS WITH PART 890 OF THE HANDBOOK OF THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT AND THE OWNERSHIP AND MAINTENANCE OF SPECIFIC HUD PROJECTS. 4 4 0 4 0 0 26683 17899 46377 43254 4 70 0 0 73064 61223 0 0 0 0 0 0 0 0 0 124649 134720 124649 134720 -51585 -73497 800227 763741 1453372 1490383 -653145 -726642 THE AFFILIATED ENTITIES EXIST FOR THE PURPOSE OF COMPLYING IN ALL RESPECTS WITH PART 890 OF THE HANDBOOK OF THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT AND THE OWNERSHIP AND MAINTENANCE OF SPECIFIC HUD PROJECTS. 0 0 134720 43254 MAINTENANCE AND OWNERSHIP OF HUD PROJECTS FOR THE PURPOSE OF PROVIDING AFFORDABLE HOUSING FOR PEOPLE WITH DISABILITIES. 134720 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 X STEPHEN ROSSI 2068261024 12550 AURORA AVE N SEATTLE WA 98133 TERRI SUTTON CHAIR 2.00 1.00 X X 0 0 0 WHITNEY KEYES 1ST VICE CHAIR 2.00 1.00 X X 0 0 0 DALE DEWHITT SECRETARY (THRU 5/23) 2.00 1.00 X X 0 0 0 ROLAND DEEX SECRETARY 2.00 1.00 X X 0 0 0 MIKE HUGHES TREASURER 2.00 1.00 X X 0 0 0 TERRIE DEIDESHEIMER IMMEDIATE PAST CHAIR (THRU 5/23) 2.00 1.00 X X 0 0 0 STEVE SUTER 2ND VICE CHAIR (THRU 10/22) 2.00 1.00 X X 0 0 0 DENISE KAJANOFF IMMEDIATE PAST CHAIR (THRU 5/23) 2.00 1.00 X X 0 0 0 MICHAEL HATZENBELER CEO 2.00 50.00 X 0 220770 43324 BENJAMIN ROBINSON CFO (THRU 11/22) 2.00 50.00 X 0 206276 0 WENTINA HURTADO CFO 2.00 50.00 X 0 0 0 0 427046 43324 0 0 1 0 0 17899 17899 COMMUNITY HOUSING 531110 43254 43254 43254 70 70 61223 43254 0 70 6707 6707 15000 15000 1201 1201 24644 24644 40898 40898 REPAIRS & MAINTENANCE 45912 45912 MISCELLANEOUS 243 243 TAXES, LICENSES & FEES 115 115 134720 134720 0 0 11388 4310 2024 325 1638732 921048 747866 717684 38949 41422 800227 763741 40000 40000 1279487 1279487 133885 170896 1453372 1490383 X -690597 -761168 37452 34526 -653145 -726642 800227 763741 -73497 0 X 0 1 X 1 0 X 34790 30363 25910 26683 17899 135645 34790 30363 25910 26683 17899 135645 135645 11 10 4 4 70 99 463 463 136207 223272 0.99590 0.99670 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SECURITY DEPOSIT FORFEITURE - 2018 AMOUNT: $ 463. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 218685 218685 1334874 863107 471767 85173 57941 27232 717684 SECURITY DEPOSITS 41422 41422 INTERFACILITY PAYABLE 167463 SECURITY DEPOSIT LIABILITY 3433 170896 X PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RECOGNIZED PROVAIL AS A TAX-EXEMPT ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3). THE PROJECT HAS ALSO BEEN GRANTED TAX-EXEMPT STATUS PURSUANT TO A GROUP EXEMPTION VALIDLY FILED IN CONJUNCTION WITH PROVAIL. 1 0 0 0 0 0 0 0 0 MICHAEL HATZENBELER CEO 0 201426 0 19344 0 0 0 26995 0 16329 0 264094 0 0 BENJAMIN ROBINSON CFO (THRU 11/22) 0 158976 0 0 0 47300 0 0 0 0 0 206276 0 0 PART I, LINE 4A BENJAMIN ROBINSON RECEIVED A SEVERANCE PAYMENT OF $47,300. PART I, LINE 3: THE PROVAIL (91-0593488) EXECUTIVE COMMITTEE OF THE BOARD UNDERTAKES THE EVALUATION AND COMPENSATION SETTING FOR THE CEO. THEY COMPLETED THE EVALUATION PORTION GETTING INPUT FROM THE BOARD OF DIRECTORS AND EMPLOYEES SUPERVISED BY THE CEO. THEY ALSO REVIEWED SALARIES AT COMPARABLE AGENCIES BY PULLING 990'S FOR THEM. MINUTES OF THESE MEETINGS WERE KEPT. USING BOTH THE EVALUATION AND THE COMPARABLE SALARY INFORMATION THEY SET THE SALARY FOR THE CEO. FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATIONS OF THE PROJECTS OWNED BY THE AFFILIATES ARE DELEGATED TO A PROFESSIONAL PROPERTY MANAGEMENT COMPANY THAT IS EXPERIENCED WITH MANAGING HUD REGULATED RENTAL UNITS. THEY HANDLE RENT COLLECTION, BILL PAYING, TENANT ISSUES AND ACCOUNTING FUNCTIONS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY AND THEREFORE DOES NOT HAVE DOCUMENTED MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION GENERALLY PROVIDES A DRAFT COPY OF THE FORM 990 TO THE GOVERNING BOARD AND REQUESTS ANY QUESTIONS OR COMMENTS BE DIRECTED TO THE CFO. THE ORGANIZATION GENERALLY PROVIDES A DRAFT COPY OF THE FORM 990 TO THE MANAGEMENT OF THE ORGANIZATION AND REQUESTS ANY QUESTIONS OR COMMENTS BE DIRECTED TO THE CFO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PROVAIL 12550 AURORA AVE N SEATTLE WA 98133 910593488 COMMUNITY HOUSING WA 501(C)(3) LINE 7 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PROVAIL E 167463 FMV