2024-03-21T09:26:27-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 300071529 WOODSIDE HAVEN INC WOOD 9204991481 1040 PILGRIM WAY GREEN BAY WI 54304 REGINA PEETERS DIRECTOR OF FINANCE 9204991481 2024-03-16 1 REGINA PEETERS 999009999 1 MICHAEL J PETERSON CPA P01833529 2187224705 2024-03-08 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z REGINA PEETERS 1040 PILGRIM WAY GREEN BAY WI 54304 151624 0 9386 X WWW.WOODSIDESENIORCOMMUNITIES.ORG X 2004 WI WOODSIDE HAVEN OFFERS 24 ONE-BEDROOM APARTMENTS FOR LOW-INCOME ADULTS MEETING THE REQUIREMENTS OF: AGE 62 AND OVER AND HAVING ADJUSTED GROSS INCOMES ACCORDING TO THE CURRENT SCHEDULE, APPLICABLE AT THE TIME APPLYING FOR RESIDENCY. OUR TENANTS ENJOY THE WARMTH OF COMMUNITY AND AS ACTIVE A SOCIAL LIFE AS THEY CHOOSE. ONE COMMENT WE HEAR OVER AND OVER FROM RESIDENTS IS THAT THEY ARE MADE TO FEEL SPECIAL HERE.-SPACIOUS APARTMENTS WITH AMPLE CLOSET SPACE, COMPLETE KITCHEN, FULL BATHROOM, LIVING AND BEDROOM.-LOUNGE AREAS WHERE TENANTS CAN BE TOGETHER TO VISIT, PLAY CARDS, OR GAMES.-COMMON AREA WITH A SERVING KITCHEN.-EMERGENCY CALL SYSTEM IN EACH APARTMENT. 8 8 1 12 0 0 0 0 139846 151606 -1862 18 0 0 137984 151624 0 0 0 0 40516 38582 0 0 0 162533 163266 203049 201848 -65065 -50224 1147845 1122854 118487 143720 1029358 979134 WOODSIDE HAVEN IS ORGANIZED FOR THE PURPOSE OF PROVIDING HOUSING TO LOW-INCOME ELDERLY ADULTS AGE 62 AND OVER. 0 0 171929 0 148930 WOODSIDE HAVEN, INC. IS A NONPROFIT, NONSTOCK CORPORATION THAT OPERATES AN APARTMENT PROJECT IN GREEN BAY, WISCONSIN, CONSISTING OF 24 APARTMENTS, WHICH ARE RENTED TO LOW-INCOME AND PHYSICALLY HANDICAPPED OR ELDERLY PERSONS. WOODSIDE HAVEN, INC. BEGAN OPERATIONS MARCH 1, 2004. THE ORGANIZATION IS OPERATED UNDER SECTION 202 OF THE NATIONAL HOUSING ACT AND REGULATED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) WITH RESPECT TO RENTAL CHARGES AND OPERATING METHODS. ALL UNITS QUALIFY UNDER SECTION 8 OF THE HUD REGULATIONS. 171929 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 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 1 0 0 0 1 2 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X REGINA PEETERS 9204991481 1040 PILGRIM WAY GREEN BAY WI 54304 ANDREW BAKE PRESIDENT 0.50 0.50 X X 0 0 0 JUDY KNUDSEN SECRETARY/TREASURER 0.50 0.50 X X 0 0 0 LAURA NELSON VICE PRESIDENT 0.50 0.50 X X 0 0 0 AMY HARDTKE BOARD MEMBER 0.50 0.50 X 0 0 0 JUDY KNEISZEL BOARD MEMBER 0.50 1.00 X 0 0 0 RUFUS KUDEE BOARD MEMBER 0.50 1.00 X 0 0 0 NORMAN SCHROEDER BOARD MEMBER 0.50 1.00 X 0 0 0 PAUL SEYMOUR BOARD MEMBER 0.50 0.50 X 0 0 0 JESSICA ATKINSON EXCECUTIVE DIRECTOR OF CAMPUS LIVING 2.00 38.00 X 0 136708 36706 NICOLE BOLDT DIRECTOR OF FINANCE (THRU MAY 2023) 2.00 38.00 X 0 142788 37706 0 279496 74412 0 0 1 0 0 RENTAL INCOME 623000 100135 100135 HUD ASSISTANCE 623000 48795 48795 OTHER OPERATING INCOME 623000 2676 2676 151606 18 18 151624 148930 0 2694 36795 28395 8400 293 226 67 1494 1153 341 12600 12600 14625 14625 14371 10266 4105 7317 5542 1775 39289 39289 69828 69828 4630 4630 606 606 201848 171929 29919 0 2420 25012 6482 11817 1789 3091 2139096 1067686 1124582 1071410 12572 11524 1147845 1122854 7622 11607 110865 132113 118487 143720 X -823642 -873866 1853000 1853000 1029358 979134 1147845 1122854 -50224 0 X 0 1 X 1 1 1 X 48 195 243 130441 136320 137269 137343 148930 690303 6429 2918 2168 2503 2676 16694 136918 139433 139437 139846 151606 707240 0 10963 16768 17120 19976 30135 94962 10963 16768 17120 19976 30135 94962 612278 268 114 17 8 18 425 268 114 17 8 18 425 137186 139547 139454 139854 151624 707665 0.86520 0.88880 0.00060 0.00090 X 50000 50000 1930659 930314 1000345 100960 89781 11179 51627 47591 4036 5850 5850 1071410 ACCOUNTS PAYABLE - SPONSOR 120589 TENANT DEPOSITS HELD IN TRUST 8608 ROU LIABILITY OPERATING LEASE 2916 132113 151624 0 151624 0 151624 201848 0 201848 0 201848 0 0 0 0 0 0 0 0 0 NICOLE BOLDT DIRECTOR OF FINANCE (THRU MAY 2023) 0 128563 0 14225 0 0 0 2857 0 34849 0 180494 0 0 JESSICA ATKINSON EXCECUTIVE DIRECTOR OF CAMPUS LIVING 0 123135 0 13573 0 0 0 2823 0 33883 0 173414 0 0 PART I, LINE 3 THE ORGANIZATION RELIES UPON ITS RELATED PARTY TO DETERMINE AND APPROVE COMPENSATION OF TOP EMPLOYEES. THE RELATED PARTY UTILIZES LEADING AGE DATA FOR ALL EMPLOYEE COMPENSATION APPROVES THE EXECUTIVE DIRECTOR COMPENSATION. THE FULL BOARD OF DIRECTORS' DISCRETION TO DETERMINE AND APPROVE OTHER OFFICERS AND KEY EMPLOYEE MADE BY THOSE WITHOUT CONFLICT OF INTEREST AND DOCUMENTATION IS KEPT FOR (COMPARABLE DATA). THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE WAGE RANGE FOR EMPLOYEES. THE EXECUTIVE DIRECTOR HAS COMPENSATION THROUGH THE BOARD-APPROVED WAGE RANGE. THESE DECISIONS ARE ALL DECISIONS MADE. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATE MEMBERSHIP OF THE ORGANIZATION CONSISTS OF CONGREGATIONS OF THE GREEN BAY CONFERENCE OF THE EAST CENTRAL SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. THE MEMBERSHIP OF THE ORGANIZATION MAY INCLUDE OTHER ORGANIZATIONS; HOWEVER, A MAJORITY OF THE CORPORATE MEMBERS SHALL CONSIST OF LUTHERAN CONGREGATIONS OF THE EVANGELICAL LUTHERAN CHURCH OF AMERICA, OR ITS SUCCESSOR. FORM 990, PART VI, SECTION A, LINE 7A EACH OF THE MEMBERS HAS THE ABILITY TO NOMINATE ONE OR MORE DELEGATES BASED ON THE CONGREGATION LEVELS OF EACH RESPECTIVE CHURCH. EACH DELEGATE NOMINATED HAS THE AUTHORITY TO NOMINATE ONE BOARD MEMBER TO BAY AREA LUTHERAN HOME, INC. ("BALH"). THE BOARD OF DIRECTORS FOR BALH NOMINATES THE BOARD OF DIRECTORS FOR WOODSIDE HAVEN, INC. NO ONE CHURCH HAS THE ABILITY TO NOMINATE MORE THAN 50% OF THE DELEGATES. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS HAS DELEGATED THE DETAILED REVIEW OF THE FORM 990 TO MANAGEMENT. THE DRAFT FORM 990 IS PRESENTED TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C AT LEAST ON AN ANNUAL BASIS, THE ORGANIZATIONS REQUIRE THAT A CONFLICT OF INTEREST STATEMENT BE SIGNED, WITH ALL POTENTIAL CONFLICTS LISTED AND DISCUSSED. EACH BOARD MEMBER COMPLETES THIS FORM, AND ALL POTENTIAL CONFLICTS ARE DISCUSSED DURING A BOARD MEETING. BOARD MEMBERS DECIDE THE APPROPRIATE COURSE OF ACTION FOR EACH CONFLICT. SOME CONFLICTS ARE IMMATERIAL ENOUGH TO WARRANT NO FOLLOW-UP, OTHERS ARE RESOLVED BY NOT ALLOWING THE MEMBER WITH A CONFLICT TO VOTE ON DECISIONS RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. BAY AREA LUTHERAN HOMES INC 1040 PILGRIM WAY GREEN BAY WI 54304 391034534 SKILLED NURSING, REHABILITATION, AND ASSISTED LIVING SERVICES WI 501(C)(3) LINE 10 N/A 0 WOODSIDE OAKS INC 1040 PILGRIM WAY GREEN BAY WI 54304 421552326 SENIOR HOUSING WI 501(C)(3) LINE 10 BAY AREA LUTHERAN HOMES INC 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0