2024-11-01T13:23:35-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 936023450 ROSE VILLA FOUNDATION INC ROSE 5036543171 13505 SE RIVER ROAD PORTLAND OR 97222 GLEN LEWIS TREASURER 5036543171 2024-10-31 1 1 KURT BENNION CPA P01469618 4252506100 2024-10-31 2023 2024-10-15 13:58:12Z GLEN LEWIS 13505 SE RIVER ROAD PORTLAND OR 97222 688743 0 X WWW.ROSEVILLA.ORG X 1964 OR PROVIDE ROSE VILLA RESIDENTS WITH FINANCIAL ASSISTANCE AND OTHER SUPPORT. 12 11 0 25 0 0 142421 238075 0 0 622916 143128 2149 60385 767486 441588 37770 155622 0 0 0 0 0 0 89537 192855 204526 230625 360148 536861 81440 6671494 7509140 94057 120959 6577437 7388181 THE ROSE VILLA FOUNDATION SUPPORTS INDEPENDENCE, ADVANCES WELL-BEING, EMPOWERS SENIOR RESIDENTS, AND INSPIRES OUR COMMUNITY TO BUILD A BETTER FUTURE FOR ALL GENERATIONS. 0 0 151482 148354 0 PROVIDES FINANCIAL ASSISTANCE TO QUALIFYING RESIDENTS OF ROSE VILLA, INC., A CONTINUING CARE RETIREMENT COMMUNITY. SUPPORTS INNOVATIVE AND RELEVANT WORKSHOPS AND SPEAKER SERIES THAT ENCOURAGE THE FINANCIAL, PHYSICAL, MENTAL AND SOCIAL WELL-BEING OF RESIDENTS. SUPPORTS IN THE FORM OF PROFESSIONAL GUIDANCE INCLUDING FINANCIAL PLANNING, LEGAL COUNSEL OR RESPITE CARE OPTIONS. SUPPORTS IMPROVEMENTS OR PROGRAMS THAT ENHANCE THE WELL-BEING OF RESIDENTS AT ROSE VILLA. 7268 7268 0 TO SUPPORT STAFF OF ROSE VILLA SEEKING TO INCREASE THEIR KNOWLEDGE, SKILLS, TO OBTAIN CERTIFICATIONS, CREDENTIALS OR DEGREE PROGRAMS RELEVANT TO THEIR WORK AT ROSE VILLA. 158750 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 X 12 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X GLEN LEWIS 5036543171 13505 SE RIVER ROAD PORTLAND OR 97222 VASSAR T BYRD TREASURER (THROUGH NOV 2023) 1.50 50.00 X X 0 262472 27883 ANGELA HANSEN TREASURER (AS OF NOV 2023) 5.00 50.00 X X 0 160965 19196 DON LEHMAN PRESIDENT 1.50 0.00 X X 0 0 0 CATHY SCHAR VICE PRESIDENT 1.50 0.00 X X 0 0 0 LOUISE WILLIAMS SECRETARY 1.50 0.00 X X 0 0 0 JENNIFER ALLEN PAST PRESIDENT 1.00 0.00 X 0 0 0 ARLIN BROWN DIRECTOR 1.00 0.00 X 0 0 0 JEANNE COZINE DIRECTOR 1.00 0.00 X 0 0 0 KEN DODGE DIRECTOR (THROUGH DEC 2023) 1.00 0.00 X 0 0 0 PETER EDDY DIRECTOR 1.00 0.00 X 0 0 0 MARNA FLAHERTY-ROBB DIRECTOR 1.00 0.00 X 0 0 0 ELLIOT MCINTIRE DIRECTOR (THROUGH DEC 2023) 1.00 0.00 X 0 0 0 BILL SCHEIBLE DIRECTOR 1.00 0.00 X 0 0 0 RON STOCK DIRECTOR 1.00 1.00 X 0 0 0 NANCY VUCKOVIC DIRECTOR 1.00 0.00 X 0 0 0 0 423437 47079 0 0 1 0 ROSE VILLA 13505 SE RIVER ROAD PORTLAND OR 97222 ADMINISTRATIVE SERVICES 109239 1 36364 201711 6147 238075 164674 164674 52885 52885 225609 247155 -21546 -21546 -21546 7500 0 7500 7500 441588 0 0 203513 X 155622 155622 26075 26075 52527 52527 93739 14061 79678 5960 5960 5903 5903 658 658 1049 1049 1200 1200 COMMUNITY EDUCATION 12537 3128 9409 BOARD EXPENSES 3823 3373 450 TAXES & FEES 1055 1055 360148 158750 111861 89537 244357 113548 16018 18085 6311886 7187542 99233 189965 6671494 7509140 94057 120959 94057 120959 X 6101667 6939213 475770 448968 6577437 7388181 6671494 7509140 X 81440 744390 -15086 X 0 1 X 1 0 X 240730 144018 162516 142421 238075 927760 240730 144018 162516 142421 238075 927760 927760 139414 145187 205191 149979 217559 857330 -24850 531 1014 2149 7500 -13656 1771434 0.52370 0.56110 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MINERAL RIGHTS LEASE CHARITABLE GAMING REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED ORGANIZATION 38346 DUE TO GIFT ANNUITY DONOR 82613 120959 X 1145167 744390 132726 877116 268051 52527 121010 173537 441588 307621 0 307621 52527 52527 360148 PART X, LINE 2: THE FOUNDATION IS A TAX-EXEMPT ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE (IRS) SECTION 501(A) AS ORGANIZATIONS DESCRIBED BY THE IRC SECTION 501(C)(3) AND APPLICABLE STATE LAWS; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FOUNDATION FOLLOWS THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION TOPIC 740, INCOME TAXES, RELATING TO UNRECOGNIZED TAX BENEFITS. THIS STANDARD REQUIRES AN ENTITY TO RECOGNIZE A LIABILITY FOR TAX POSITIONS WHEN THERE IS A 50% OR GREATER LIKELIHOOD THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. THE FOUNDATION IS LIABLE FOR TAXES TO THE EXTENT OF ANY UNRELATED BUSINESS INCOME AS DEFINED BY THE INTERNAL REVENUE SERVICE REGULATIONS. THE FOUNDATION BELIEVES THAT IT HAS NOT GENERATED ANY UNRELATED BUSINESS INCOME AS DEFINED BY IRS REGULATIONS AND THAT IT IS MORE LIKELY THAN NOT THAT THIS POSITION WOULD BE SUSTAINED UPON EXAMINATION. AS SUCH, THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 132,726. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS WITH DONOR RESTRICTIONS 105,924. CHANGE IN PRESENT VALUE OF ANNUITIES 15,086. 1 ROSE VILLA INC 13505 SE RIVER ROAD PORTLAND OR 97222 930471873 501(C)(3) 155622 0 GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: THE ONLY GRANTS ARE MADE TO A RELATED ORGANIZATION. SHARED EXECUTIVE OVERSIGHT ENSURES THAT ALL GRANTED FUNDS ARE USED APPROPRIATELY. 1 0 0 0 0 0 0 0 0 VASSAR T BYRD TREASURER (THROUGH NOV 2023) 0 233642 0 0 0 28830 0 18451 0 9432 0 290355 0 0 ANGELA HANSEN TREASURER (AS OF NOV 2023) 0 150965 0 10000 0 0 0 13379 0 5817 0 180161 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS DETERMINED BY ROSE VILLA, A RELATED ORGANIZATION. THE FOLLOWING HAVE BEEN USED BY ROSE VILLA IN DETERMINING THE CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4A VASSAR BYRD RECEIVED A SEVERANCE PAYMENT OF $28,830 FROM ROSE VILLA IN 2023. FORM 990, PART VI, SECTION A, LINE 1A THE FOUNDATION HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE HAS POWER TO ACT ON BEHALF OF THE BOARD BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE ALSO HAS AUTHORITY TO APPROVE FINANCIAL ASSISTANCE REQUESTS FOR ROSE VILLA RESIDENTS. FORM 990, PART VI, SECTION A, LINE 3 ALL EXECUTIVE SERVICES ARE PROVIDED BY EMPLOYEES OF ROSE VILLA, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE TREASURER, WHO IS ALSO THE CEO OF ROSE VILLA, AND BY THE BOARD OF DIRECTORS. THE 990 DRAFT WAS SENT TO THE BOARD FOR THEIR REVIEW AND COMMENTS, WITH 3-5 BUSINESS DAYS ALLOWED FOR QUESTIONS/COMMENTS/ETC. THE TREASURER WAS AVAILABLE FOR DISCUSSION AND QUESTIONS THAT BOARD MEMBERS RAISED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, BOARD MEMBERS AND COMMITTEE MEMBERS ARE ASKED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THIS IS REVIEWED BY THE COMPLIANCE OFFICER. IF A TRANSACTION ARISES THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST, THE INTERESTED PERSON IS REQUIRED TO DISCLOSE ITS EXISTENCE, AFTER WHICH THEY LEAVE THE MEETING WHILE THE REMAINING BOARD/COMMITTEE MEMBERS DETERMINE WHETHER AN ACTUAL CONFLICT EXISTS. THE CONFLICTED INDIVIDUAL MAY PRESENT RELEVANT INFORMATION AND ANSWER QUESTIONS, BUT IS OTHERWISE EXCLUDED FROM ALL DISCUSSIONS AND VOTES RELATED TO THE TRANSACTION. THE BOARD/COMMITTEE MAY EVALUATE ALTERNATIVES THAT DO NOT INCLUDE A CONFLICT OF INTEREST. AFTER EXERCISING DUE DILIGENCE, THE BOARD/COMMITTEE EVALUATES ALTERNATIVES AND VOTES ON WHETHER TO ENTER THE TRANSACTION. IF THE BOARD/COMMITTEE HAS REASON TO BELIEVE AN INDIVIDUAL FAILED TO DISCLOSE A CONFLICT, THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE. IF THE INDIVIDUAL DID FAIL TO DISCLOSE A CONFLICT, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS ARE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 ROSE VILLA'S CEO ALSO SERVES AS ROSE VILLA FOUNDATION'S TREASURER. ALL EXECUTIVE COMPENSATION IS DETERMINED BY ROSE VILLA, A RELATED ORGANIZATION. WHEN HIRING, COMPENSATION RANGES ARE COMPARED TO INDUSTRY BENCHMARKS FOR REASONABLENESS. THE ROSE VILLA BOARD EXECUTIVE COMMITTEE ANNUALLY REVIEWS AND APPROVES CEO PAY BASED ON PERFORMANCE. GOALS AND ACHIEVEMENTS ARE ANUALLY REVIEWED AND USED TO DETERMINE COMPENSATION. WHEN HIRING, THE CEO DETERMINES OTHER KEY SALARIES WITH THE USE OF OUTSIDE WAGE SURVEYS. SENIOR MANAGEMENT COMPENSATION IS COMPARED WITH INDUSTRY COMPENSATION EVERY 3 TO 5 YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 14,061. FUNDRAISING EXPENSES 79,678. TOTAL EXPENSES 93,739. FORM 990, PART XI, LINE 9: CHANGE IN PRESENT VALUE OF ANNUITIES -15,086. ROSE VILLA INC 13505 SE RIVER ROAD PORTLAND OR 97222 930471873 HOUSING AND MEDICAL SERVICES FOR SENIORS OR 501(C)(3) LINE 10 N/A 0 NORTH STAR SENIOR COLLABORATIVE 13505 SE RIVER ROAD PORTLAND OR 97222 881061608 SUPPORT ROSE VILLA OR 501(C)(3) LINE 12B, II N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1