2025-02-11T18:50:05-06:00 2024-03-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2023-04-01 431304714 THE JOHN KNOX VILLAGE FOUNDATION JOHN 8163472859 400 NW MURRAY ROAD LEES SUMMIT MO 64081 RICHARD KIM KLOCKENGA VP OF FINANCE 8163472859 2025-02-07 1 0 AMBER ROGNAN-HAMILTON P01251012 3149254300 2025-02-07 2023 2025-03-06 01:10:19Z GAIL BENNE 400 NW MURRAY ROAD LEES SUMMIT MO 64081 2655761 0 X WWW.JKV.ORG/FOUNDATION X 1983 MO PROVIDING SUPPORT TO BENEFIT JOHN KNOX VILLAGE, OUR RESIDENTS, AND THE COMMUNITY. 9 9 2 9 0 0 663668 1116105 0 0 130343 219082 -59998 -56987 734013 1278200 292303 347798 0 0 202734 214779 0 0 30044 80046 85718 575083 648295 158930 629905 4023804 5118919 337478 289936 3686326 4828983 X SUPPORT ACTIVITIES THAT PROMOTE OR CONTRIBUTE TO THE PHYSICAL, SPIRITUAL AND MENTAL HEALTH OF THE ELDERLY OF SOCIETY, MAKE GIFTS FOR FACILITIES OPERATED BY JOHN KNOX VILLAGE AND GRANTS FOR PROGRAMS RUN BY OR MANAGED BY JOHN KNOX VILLAGE STAFF MEMBERS OR VOLUNTEERS, ASSIST WITH THE IMPLEMENTATION OF THE STRATEGIC AND LONG RANGE PLANS OF JOHN KNOX VILLAGE. 0 0 261502 0 0 THE FOUNDATION'S OTHER PROGRAM SERVICES: JOHN KNOX VILLAGE HOSPICE, LEGACY BRICK PROGRAM, CAPITAL PROJECTS (EXCEPTIONAL PAST, EXTRAORDINARY FUTURE CAMPAIGN)AND NURSING SCHOLARSHIPS.LEGACY BRICK PROGRAM - PURCHASE CUSTOMIZABLE BRICKS OR STONES FOR YOURSELF OR AS UNIQUE GIFTS TO HONOR LOVES ONES OR FAVORITE ORGANIZATIONS. JOHN KNOX VILLAGE HOSPICE - FOR PEOPLE WITH LIFE-LIMITING ILLNESSES, VILLAGE HOSPICE IS THERE WHEN YOU ARE READY FOR CARE TO SHIFT FROM FINDING A CURE TO OFFERING COMFORT. OUR COMPASSIONATE PROFESSIONALS OFFER SPECIALIZED CARE FOR YOUR LOVED ONE, AND SUPPORT FOR YOU. 235022 235022 0 MAKING GIFTS FOR FACILITIES, EQUIPMENT AND PROGRAMS OPERATED AND RUN BY JOHN KNOX VILLAGE. NEARLY ALL RESIDENTS WHO LIVE ON OUR CAMPUS PLUS THE PATIENTS IN THE VILLAGE CARE CENTER WILL HAVE BENEFITED FROM ONE OR MORE OF THE PROJECTS FUNDED BY THIS INITIATIVE. 112776 112776 0 RESIDENT FINANCIAL ASSISTANCE PROVIDES FUNDS TO ASSIST JOHN KNOX VILLAGE RESIDENTS WITH THEIR MONTHLY SERVICE FEE ONCE THEIR ASSETS BECOME DEPLETED. 10 RESIDENTS WERE HELPED THIS YEAR. 609300 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 2 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X STEVE SEGGERMAN 8163472859 400 NW MURRAY ROAD LEES SUMMIT MO 64081 CAROL JENNINGS CHAIR 1.00 0.00 X X 0 0 0 RANDY RHOADS VICE CHAIR 1.00 0.00 X X 0 0 0 CHARLIE UNGER SECRETARY 1.00 0.00 X X 0 0 0 JOHN WISNIEWSKI TREASURER 1.00 1.00 X X 0 0 0 DONALD BERKIHISER DIRECTOR 1.00 0.00 X 0 0 0 GAYLE EVANS DIRECTOR 1.00 0.00 X 0 0 0 LAURA MAXWELL DIRECTOR 1.00 0.00 X 0 0 0 MICHELE SPILKER DIRECTOR 1.00 0.00 X 0 0 0 SANDY COX DIRECTOR 1.00 0.00 X 0 0 0 DANIEL REXROTH PREMIERLIFE PRESIDENT AND CEO 1.00 43.00 X 0 782162 39832 RICHARD KIM KLOCKENGA PREMIERLIFE VP OF FINANCE 1.00 43.00 X 0 396749 30870 GAIL BENNE FOUNDATION PRESIDENT 40.00 0.00 X 0 127349 24634 0 1306260 95336 0 0 1 0 0 254526 861579 1116105 102204 102204 1406732 1289854 116878 116878 116878 30720 254526 87707 -56987 -56987 1278200 0 0 162095 235022 235022 112776 112776 134218 119454 14764 45392 40399 4993 23354 20785 2569 11815 10515 1300 6999 6999 53576 46832 326 6418 7436 7436 1758 1758 DISTRIBTION OF GIFT ANN 14323 14323 MISCELLANEOUS 1201 1201 DUES & SUBSCRIPTIONS 425 425 648295 609300 8951 30044 3154492 4371783 250010 869312 497126 4023804 5118919 337478 289936 337478 289936 X 750801 935634 2935525 3893349 3686326 4828983 4023804 5118919 X 629905 425045 87707 X X 0 1 X 1 0 X 340265 927474 389398 686668 1146825 3490630 340265 927474 389398 686668 1146825 3490630 1012625 2478005 78146 59584 71408 84441 102204 395783 4890 4086 8976 3895389 76795 0.63610 0.59190 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: BAD DEBT RECOVERY - 2019 AMOUNT: $ 4,890. 2020 AMOUNT: $ 4,086. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2285703 344912 112776 2517839 2578605 -152088 140814 2285703 2564808 89046 75249 2578605 1699726 313404 666064 114386 2564808 1927014 -142788 84500 1699726 0.15000 0.56000 0.29000 1 0 0 DUE TO RELATED ORGANIZATIONS 223612 ANNUITY PAYMENTS DUE 66324 289936 X 1790952 425045 87707 512752 1278200 0 1278200 648295 0 648295 0 648295 PART V, LINE 4: THE ENDOWMENT FUNDS ARE HELD AT THE JOHN KNOX VILLAGE FOUNDATION FOR THE BENEFIT OF JOHN KNOX VILLAGE. RESIDENT FINANCIAL ASSISTANCE ENDOWMENT FUND (PERMANENT ENDOWMENT): INVESTMENT INCOME IS USED TO PROVIDE SLIDING SCALE ASSISTANCE TO HELP RESIDENTS WITH THEIR MONTHLY SERVICE FEES. JOHN KNOX VILLAGE ENDOWMENT FUND (PERMANENT ENDOWMENT): INVESTMENT INCOME IS USED BY TRUSTEES FOR PROJECTS OR PROGRAMS WHERE THERE ARE INSUFFICIENT DONOR RESTRICTED FUNDS OR NO DONOR RESTRICTED FUNDS AT ALL FOR THE PROJECT OR PROGRAM. TRUSTEE-DESIGNATED ENDOWMENT FUNDS (BOARD DESIGNATED QUASI-ENDOWMENT): BY POLICY, ONE HALF OF UNRESTRICTED ESTATE GIFTS ARE DESIGNATED BY THE TRUSTEES FOR LONG-RANGE, LARGER PROJECTS OR INITIATIVES INVESTMENT INCOME FROM THOSE FUNDS ARE USED FOR CURRENT PROJECTS OR PROGRAMS. DONOR RESTRICTED FUNDS (TERM ENDOWMENT): USED TO FUND THE PROJECT OR PROGRAM STIPULATED BY THE DONOR AT THE TIME THEY MAKE THE GIFT. PART X, LINE 2: THE FOUNDATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS AND IT IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET FUNDRAISING EXPENSES 87,707. GALA 285246 254526 30720 51879 24362 3500 7966 285246 254526 30720 51879 24362 3500 7966 87707 -56987 1 JOHN KNOX VILLAGE 400 NW MURRAY ROAD LEES SUMMIT MO 64081 237365138 501(C)(3) 137079 97943 FMV FIXED ASSETS FOR SUPPORT OF OPERATIONS AND ACQUISITIONS OF FIXED ASSETS 1 RESIDENT FINANCIAL ASSISTANCE 10 112776 PART I, LINE 2: GRANTS TO JOHN KNOX VILLAGE - ALL REQUESTS FOR GRANTS FROM JOHN KNOX VILLAGE (JKV) ARE REVIEWED FOR APPROPRIATE DOCUMENTATION AND FOR ALIGNMENT WITH THE PURPOSES OF JOHN KNOX VILLAGE FOUNDATION (THE FOUNDATION) IN SUPPORTING JKV. DISTRIBUTIONS ARE MADE AFTER FOUNDATION MANAGEMENT APPROVAL. FOR PROJECTS OVER $1,000, A CAPITAL REQUISITION FORM IS COMPLETED BY JKV UPON APPROVAL OF FOUNDATION MANAGEMENT, A CAPITAL NUMBER IS ASSIGNED, AND JKV PROCEEDS WITH THE PROJECT BASED ON THE SUBSTANTIAL REVIEW/APPROVAL PROCESS INVOLVED PRIOR TO THE TRANSFER OF GRANT FUNDS TO JKV. THERE IS NO NEED FOR MONITORING OF THE USE OF FUNDS AFTER DISTRIBUTION. RESIDENT FINANCIAL ASSISTANCE - JOHN KNOX VILLAGE HAS A BOARD-APPROVED RESIDENT ASSISTANCE POLICY WHICH OUTLINES THE APPLICATION AND PROCESS FOR THE ASSISTANCE. THE POLICY IS REVIEWED AND UPDATED ANNUALLY AS NEEDED. RESIDENTS REQUESTING FINANCIAL ASSISTANCE COMPLETE A QUESTIONNAIRE THAT IS REVIEWED BY THE VP OF FINANCE OF JOHN KNOX VILLAGE. THE FOUNDATION RECEIVES DOCUMENTATION THAT SHOWS THE FUNDS WERE EXPENDED FOR THE INTENDED PURPOSE. 0 1 0 0 0 0 0 0 0 DANIEL REXROTH PREMIERLIFE PRESIDENT AND CEO 0 510721 0 187241 0 84200 0 30750 0 9082 0 821994 0 0 RICHARD KIM KLOCKENGA PREMIERLIFE VP OF FINANCE 0 308195 0 78368 0 10186 0 30473 0 397 0 427619 0 0 GAIL BENNE FOUNDATION PRESIDENT 0 126454 0 25 0 870 0 15750 0 8884 0 151983 0 0 PART I, LINE 3 THE COMPENSATION BEING REPORTED FOR GAIL BENNE, DANIEL REXROTH AND RICHARD KIM KLOCKENGA BY A RELATED ORGANIZATION IS FROM JOHN KNOX VILLAGE. JOHN KNOX VILLAGE USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, AND APPROVAL BY THE INDEPENDENT BOARD OR COMPENSATION COMMITTEE TO DETERMINE COMPENSATION. PART I, LINE 4B JOHN KNOX VILLAGE (A RELATED ORGANIZATION) MADE THE FOLLOWING CONTRIBUTIONS TO NON-QUALIFIED RETIREMENT PLANS FOR THE FOLLOWING EMPLOYEES IN CALENDAR YEAR 2023: 457(B) SUPPLEMENTAL SAVINGS PLAN: DANIEL REXROTH - $22,500 RICHARD KLOCKENGA - $22,500 GAIL BENNE - $12,469 SUPPLEMENTAL EXECUTIVE COMPENSATION PROGRAM: DANIEL REXROTH - $80,034 RICHARD KLOCKENGA - $7,798 JOHN KNOX VILLAGE SPONSORS A SECTION 457(F) DEFERRED COMPENSATION PLAN HEREINAFTER CALLED THE 457(F) PLAN. THE 457(F) PLAN WAS ESTABLISHED AND IS OVERSEEN BY THE JOHN KNOX VILLAGE EXECUTIVE COMMITTEE. THE 457(F) PLAN IS TIED TO ACHIEVING SPECIFIC CAMPUS DEVELOPMENT ACTIVITY PERFORMANCE INDICATORS AS ESTABLISHED, REVIEWED, AND APPROVED BY THE JOHN KNOX VILLAGE EXECUTIVE COMMITTEE. INDIVIDUALS WILL EARN THE INCENTIVE OVER A 3-YEAR PERIOD AND BECOME VESTED IN THE 457(F) PLAN IN 2024. NO AMOUNTS FROM THIS 457(F) PLAN ARE INCLUDED IN COLUMN C AS DEFERRED COMPENSATION, AS INDIVIDUALS ARE NOT VESTED AND DO NOT HAVE A RIGHT TO THESE MONIES UNTIL SPECIFIC PERFORMANCE INDICATORS HAVE BEEN MET. CURRENT YEAR ACCRUAL IS AS FOLLOWS: DANIEL REXROTH - $88,896 RICHARD KLOCKENGA - $52,172 SCHEDULE J PART II JOHN KNOX VILLAGE IS A LARGE COMPLEX ORGANIZATION THAT IS COMPRISED OF 5 SEPARATE LEGAL ENTITIES, EACH OF WHICH FILES ITS OWN TAX RETURN. DUE TO THE REQUIREMENTS FOR COMPLETING THESE 990'S, SOME OF THE INFORMATION CONTAINED WITHIN THE FORM, SUCH AS REVENUE AND EXPENSES, IS RELATED ONLY TO THAT PARTICULAR ENTITY. HOWEVER, SOME OF THE INFORMATION, SUCH AS EXECUTIVE COMPENSATION, RELATES TO THE ENTIRE ORGANIZATION. THE EXECUTIVE COMPENSATION REFLECTED WAS PAID BY JOHN KNOX VILLAGE (EIN 23-7365138). FORM 990, PART V, LINE 1A & 2A JOHN KNOX VILLAGE, (FEIN 23-7365138) PROCESSES ACCOUNTS PAYABLE PAYMENTS FOR ALL RELATED ENTITIES OF PREMIERLIFE AND AFFILIATES. AS A RESULT, THE ORGANIZATION IS UNABLE TO DETERMINE THE NUMBER OF 1099S REPORTED BY ENTITY, AND ALL 1099S ARE ISSUED AND REPORTED OUT OF JOHN KNOX VILLAGE. IN ADDITION, JOHN KNOX VILLAGE ALSO ISSUES THE W-2 FOR THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 PREMIERLIFE, A MISSOURI NONPROFIT CORPORATION, IS THE SOLE MEMBER OF JOHN KNOX VILLAGE FOUNDATION. PREMIERLIFE IS DESIGNATED AS THE SOLE MEMBER SO LONG AS PREMIERLIFE SHALL CONTINUE TO QUALIFY AS A TAX EXEMPT, NONPROFIT ENTITY RECOGNIZED UNDER SECTION 501(C)(3) OF THE IRC. PREMIERLIFE HAS THE RIGHT TO ELECT THE MEMBERS OF JOHN KNOX VILLAGE FOUNDATION'S GOVERNING BODY. PREMIERLIFE HAS THE RESERVED POWER TO APPROVE SIGNIFICANT DECISIONS OF JOHN KNOX VILLAGE FOUNDATION'S GOVERNING BODY. PREMIERLIFE IS NOT ENTITLED TO RECEIVE A SHARE OF JOHN KNOX VILLAGE FOUNDATION'S PROFITS, EXCESS DUES OR A SHARE OF JOHN KNOX VILLAGE FOUNDATION'S NET ASSETS UPON DISSOLUTION. FORM 990, PART VI, SECTION A, LINE 7A PREMIERLIFE, BEING THE SOLE MEMBER OF THE JOHN KNOX VILLAGE FOUNDATION, HAS THE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF TRUSTEES FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE BYLAWS OF JOHN KNOX VILLAGE FOUNDATION IDENTIFY CERTAIN RIGHTS AND POWERS WHICH ARE RESERVED TO PREMIERLIFE, THE SOLE MEMBER IN EACH INSTANCE, THE RIGHTS AND POWERS RESERVED TO THE SOLE MEMBER MAY BE SUMMARIZED AS FOLLOWS: 1. ELECTION OF DIRECTORS - THE SOLE MEMBER ELECTS ALL DIRECTORS OF JOHN KNOX VILLAGE FOUNDATION BASED UPON NOMINATIONS SUBMITTED BY JOHN KNOX VILLAGE FOUNDATION'S BOARD OF DIRECTORS TERMS OF OFFICE ARE STAGGERED ON JOHN KNOX VILLAGE FOUNDATION'S BOARD SUCH THAT APPROXIMATELY 1/3 OF THE DIRECTORS' TERMS EXPIRE EACH YEAR. 2. ARTICLES OF INCORPORATION AND BYLAWS - JOHN KNOX VILLAGE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS MAY NOT BE AMENDED, RESTATED, ALTERED OR REPEALED BY THE CORPORATION UNLESS AND UNTIL SUCH ACTION IS RATIFIED AND APPROVED BY THE SOLE MEMBER. 3. ANNUAL BUDGETS/FINANCIAL POLICIES/INVESTMENT - JOHN KNOX VILLAGE FOUNDATION'S ANNUAL OPERATING AND CAPITAL BUDGETS PREPARED AND RECOMMENDED BY THE CORPORATE BOARD ARE SUBJECT TO REVIEW AND APPROVAL OF THE SOLE MEMBER CORPORATE FINANCIAL POLICIES AND INVESTMENT STRATEGIES RECOMMENDED BY JOHN KNOX VILLAGE FOUNDATION'S BOARD ALSO ARE SUBJECT TO PRIOR REVIEW AND APPROVAL OF THE SOLE MEMBER. 4. SALE OF ASSETS/MERGER, CONSOLIDATION/DISSOLUTION - ANY SALE, LEASE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF JOHN KNOX VILLAGE FOUNDATION, AND ANY MERGER, CONSOLIDATION, REORGANIZATION OR OTHER NOT-IN-THE- ORDINARY-COURSE TRANSACTION IS SUBJECT TO THE PRIOR REVIEW, RATIFICATION AND APPROVAL OF THE SOLE MEMBER JOHN KNOX VILLAGE FOUNDATION SHALL NOT BE DISSOLVED OR LIQUIDATED NOR ANY PLAN OF DISSOLUTION ADOPTED BY THE CORPORATION'S BOARD OF DIRECTORS WITHOUT THE RATIFICATION AND APPROVAL OF THE SOLE MEMBER, 5. LONG-TERM DEBT/LEASES - ALL LONG-TERM DEBT OBLIGATIONS AND LONG-TERM LEASE OBLIGATIONS IN EXCESS OF ONE YEAR ARE SUBJECT TO PRIOR REVIEW/APPROVAL OF THE SOLE MEMBER. 6. CHIEF EXECUTIVE OFFICER - ACTIONS OF THE BOARD OF DIRECTORS OF JOHN KNOX VILLAGE FOUNDATION TO EMPLOY OR TERMINATE THE EMPLOYMENT OF THE CEO OF THE CORPORATION ARE SUBJECT TO REVIEW AND APPROVAL BY THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS OR CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PROVIDED TO THE AUDIT COMMITTEE OF THE PREMIERLIFE BOARD FOR THEIR REVIEW. ANY QUESTIONS OR CONCERNS THE AUDIT COMMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PROVIDED TO THE JOHN KNOX VILLAGE EXECUTIVE COMMITTEE, WHO OVERSEES EXECUTIVE COMPENSATION, FOR THEIR REVIEW. ANY QUESTIONS OR CONCERNS THE EXECUTIVE COMMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD FOR THEIR REVIEW. ANY QUESTIONS OR CONCERNS THE VOTING MEMBERS OF THE BOARD HAVE ARE ADDRESSED AND ANY CORRECTION OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. ONCE ALL THESE REVIEWS ARE COMPLETE, THE FINAL 990 IS THEN FILED WITH THE IRS, AND SUBSEQUENTLY POSTED ON THE WEBSITE WWW.GUIDESTAR.ORG BY THE COMPANY GUIDESTAR. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE (OR ELECTION IN THE CASE OF CORPORATE DIRECTORS AND TRUSTEES) AND ANNUALLY THEREAFTER, THE CEO OR HIS/HER DESIGNEE SHALL PROVIDE TO THE BOARD AND TO ALL EXECUTIVE OFFICERS, ADMINISTRATIVE STAFF, ASSOCIATES AND VOLUNTEERS A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WITH RESPECT TO WHICH IT IS BELIEVED A CONFLICT MAY ARISE. SUCH ANNUAL MONITORING AND REVIEW PROCEDURES SHALL BE PART OF THE CORPORATE COMPLIANCE PLAN. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE AUDIT COMMITTEE CONCERNING ANY INTEREST SO DISCLOSED. EACH MEMBER OF THE BOARD OF DIRECTORS AND ALL MANAGEMENT ASSOCIATES SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OR DUALITY OF INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL OR BUSINESS, WHICH MAY EXIST OR APPEAR AS TO PREMIERLIFE OR ANY SYSTEM ENTITY OR ANY MATTER OR BUSINESS WHICH MAY COME BEFORE THE BOARD (INCLUDING ITS COMMITTEES). THE DISCLOSING INDIVIDUAL SHALL NEITHER VOTE NOR ENDEAVOR TO INFLUENCE CORPORATE ACTION IN ANY SUCH MATTER UPON REQUEST OF THE SUBJECT BOARD. THE AFFECTED INDIVIDUAL SHALL LEAVE THE BOARDROOM WHILE THE MATTER IS DISCUSSED AND A VOTE, IF ANY, SHALL BE RECORDED IN THE MINUTES OF THE BOARD OR ITS COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICER'S COMPENSATION IS PAID BY JOHN KNOX VILLAGE, A RELATED ORGANIZATION. JOHN KNOX VILLAGE USES THE FOLLOWING: 1. PEER GROUP: THE PEER GROUP WILL INCLUDE CONTINUING-CARE COMMUNITIES, NURSING HOMES AND CLOSELY RELATED ORGANIZATIONS, NATIONALLY. 2. BASE SALARIES WILL BE POSITIONED SO THAT MIDPOINTS TARGET THE 60TH PERCENTILE EXECUTIVE SALARIES WILL BE ADMINISTERED WITHIN RANGES BUILT AROUND THE 60TH PERCENTILE AND BASED ON PERFORMANCE, EXPERIENCE AND OTHER RELEVANT FACTORS. 3. INCENTIVES WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 60TH PERCENTILE OF THE PEER GROUP FOR ON-PLAN PERFORMANCE ACHIEVING MAXIMUM INCENTIVES MAY RAISE TOTAL COMPENSATION TO APPROXIMATELY THE 65TH TO 75TH PERCENTILE. 4. BENEFITS WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS, APPROXIMATING THE 60TH TO 75TH PERCENTILE OF THE PEER GROUP. 5. TOTAL COMPENSATION WILL BE POSITIONED AT APPROXIMATELY THE 60TH PERCENTILE FOR ON-PLAN PERFORMANCE WITH TARGET INCENTIVE AWARDS AND APPROXIMATELY THE 65TH TO 75TH PERCENTILE FOR OUTSTANDING PERFORMANCE WITH MAXIMUM INCENTIVE AWARDS. JOHN KNOX VILLAGE EXECUTIVE COMMITTEE WILL DETERMINE THE TOTAL COMPENSATION PACKAGE FOR THE CEO. THE CEO SHALL MAKE RECOMMENDATIONS FOR THE SALARIES AND INCENTIVE PAYMENTS FOR OTHER EXECUTIVES. THESE AMOUNTS WILL BE PROVIDED ANNUALLY TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. THE EXECUTIVE COMMITTEE WILL REPORT THE AGGREGATE INCREASES AND PERCENTAGE COMPARISON TO THE PHILOSOPHY TO THE BOARD OF DIRECTORS FOR APPROVAL. A SALARY REVIEW WAS LAST CONDUCTED BY AN INDEPENDENT ACCOUNTING FIRM IN FY2024. A WRITTEN OPINION FROM THE CONSULTANT WAS RECEIVED STATING THAT THE EXECUTIVE COMPENSATION PACKAGES ARE REASONABLE AND DO NOT CONSTITUTE EXCESS BENEFIT TRANSACTIONS. THE LETTER ALSO OUTLINES THE STEPS THE COMMITTEE TOOK TOWARD ESTABLISHING A REBUTTABLE PRESUMPTION THAT TOTAL PAY LEVELS ARE REASONABLE. THE CONSULTANT REVIEWED THE MINUTES TO ENSURE THE STEPS TAKEN SATISFIED THE IRS REQUIREMENTS. THE LETTER IS ON FILE AT THE FACILITY. JOHN KNOX VILLAGE'S PHILOSOPHY REGARDING EXECUTIVE COMPENSATION IS TO PAY AT APPROXIMATELY THE 60TH PERCENTILE OF THE MARKET, AND IT IS OUR PRACTICE TO ENSURE THE SALARIES ARE CONSISTENT WITH THE VILLAGE'S GOAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVALIABLE UPON REQUEST. FORM 990, PART XI, LINE 9: FUNDRAISING EXPENSES 87,707. FORM 990, PART XII, LINE 2C THE SELECTION AND OVERSIGHT PROCESSES DID NOT CHANGE DURING THE YEAR. PREMIERLIFE 400 NW MURRAY ROAD LEES SUMMIT MO 64081 203587205 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 12B, II N/A 0 JOHN KNOX VILLAGE 400 NW MURRAY ROAD LEES SUMMIT MO 64081 237365138 COMMUNITY LIVING MO 501(C)(3) LINE 10 PREMIERLIFE 0 PREMIERLIFE REAL ESTATE HOLDINGS 400 NW MURRAY ROAD LEES SUMMIT MO 64081 203587252 REAL ESTATE MO 501(C)(2) PREMIERLIFE 0 JOHN KNOX VILLAGE AUXILIARY 400 NW MURRAY ROAD LEES SUMMIT MO 64081 431528124 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 10 PREMIERLIFE 0 THE JKV REDEVELOPMENT CORPORATION 400 NW MURRAY ROAD LEES SUMMIT MO 64081 200528072 REAL ESTATE MO N/A C 0 WOODSIDE RIDGE COMMERCIAL PARK OWNERS ASSOCIATION 400 NW MURRAY ROAD LEES SUMMIT MO 64081 932774257 HOMEOWNER'S ASSOCIATION MO N/A C 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 1