2025-07-25T17:32:54-05:00 2024-09-30 420714325 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990 2023-10-01 262341634 KEOKUK VILLAGE CIRCLE LTD NFP KEOK 3093431550 285 S FARNHAM ST GALESBURG IL 61401 JOHN CROCK PRESIDENT 3093431550 2025-07-24 1 1 KAREN O CRIM P00368385 9372980201 2025-07-24 2023 2025-03-06 01:10:19Z JOHN CROCK 285 S FARNHAM ST GALESBURG IL 61401 594146 0 X N/A X 2008 IL TO ACQUIRE & HOLD PROPERTY TITLE, COLLECT & REMIT PROPERTY INCOME TO COMMUNITY LIVING OPTIONS, INC., A 501(C)(3) ORGANIZATION. 4 4 0 4 0 0 0 0 594146 594146 0 0 0 0 594146 594146 0 0 0 0 0 0 0 0 0 460585 461596 460585 461596 133561 132550 5452729 5017993 4284553 3717267 1168176 1300726 X THE MISSION OF THE ORGANIZATION IS ARTICULATED IN ITS ARTICLES OF INCORPORATION AS FOLLOWS:THE CORPORATION IS ORGANIZED FOR THE EXCLUSIVE PURPOSE OF ACQUIRING, HOLDING TITLE TO, AND COLLECTING INCOME FROM REAL PROPERTY AND QUALIFIED PERSONAL PROPERTY, AND REMITTING THE ENTIRE AMOUNT OF INCOME FROM SUCH PROPERTY (LESS EXPENSES) TO ONE ORGANZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 0 0 ALL PROGRAM SERVICES RELATE TO ACQUIRING AND HOLDING TITLE TO REAL AND QUALIFIED PERSONAL PROPERTY, AND COLLECTING AND REMITTING INCOME FROM SUCH PROPERTY TO ONE 501(C)(3) ORGANIZATION. KEOKUK VILLAGE CIRCLE, LTD., NFP OWNS AND LEASES A LONG-TERM CARE CAMPUS THAT INCLUDES AN 84-BED SKILLED NURSING FACILITY, A 34-BED ASSISTED LIVING FACILITY AND A 19-BED INDEPENDENT LIVING FACILITY. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 IL X BRIAN BURGER RFMS INC 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 X X JOHN CROCK PRESIDENT 1.00 1.00 X X 0 0 0 JOHN THOMPSON SECRETARY 1.00 1.00 X X 0 0 0 FORREST LANGENFELD ASSISTANT SECRETARY 1.00 1.00 X X 0 0 0 GENE FRIOLI DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MARSHALL DIRECTOR (UNTIL 02/2024) 1.00 1.00 X 0 0 0 0 0 0 0 0 0 0 0 FACILITY RENT INCOME 623000 594146 594146 594146 594146 594146 0 0 26565 434736 LICENSES & FEES 295 461596 11929337 6911344 5452729 5017993 5452729 5017993 627635 533489 3656918 3183778 4284553 3717267 X 1168176 1300726 1168176 1300726 5452729 5017993 132550 0 X X 0 1 X 1 0 445000 445000 10316445 5914736 4401709 46422 322 46100 679800 679800 0 441670 316486 125184 5017993 ADVANCE FROM COMMUNITY LIVING OPTIONS, INC. 3183778 3183778 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OR SECTION 501(C)(2) OF THE INTERNAL REVENUE CODE; THEREFORE, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (U.S. GAAP). WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2021. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS A SUBSIDIARY OF COMMUNITY LIVING OPTIONS, INC. COMMUNITY LIVING OPTIONS, INC., IS A MEMBER OF THE ORGANIZATION. COMMUNITY LIVING OPTIONS, INC., ELECTS THE GOVERNING BODY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 11B EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES A COPY OF FORM 990 FOR THEIR REVIEW AND COMMENT PRIOR TO ITS FILING. THE BOARD ALSO DISCUSSES EACH FORM 990 FILED BY THE ORGANIZATION DURING ITS REGULARLY SCHEDULED BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ATTEST TO THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE BOARD OF DIRECTORS REVIEWS ALL COMPLETED CONFLICT OF INTEREST STATEMENTS TO DETERMINE IF ANY CONFLICTS EXIST WHICH WOULD REQUIRE RESTRICTION ON PARTICIPATION IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN ANY TRANSACTIONS INVOLVING THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 18 A PAPER COPY OF FORM 990 IS PROVIDED UPON REQUEST IN ACCORDANCE WITH IRC SECTION 6104(D). THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE VIA THE GUIDESTAR.ORG WEBSITE AND THROUGH THE STATE OF ILLINOIS ATTORNEY GENERAL'S OFFICE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT THROUGH PUBLIC FILING REQUIREMENTS. FORM 990, PART VII, SECTION A, COLUMN B: APPROXIMATELY ONE-HALF OF THE AVERAGE HOURS PER WEEK ESTIMATED FOR EACH DIRECTOR AND OFFICER IS DEVOTED TO RELATED ORGANIZATIONS LISTED ON SCHEDULE R. FORM 990, PART XII, LINE 2B: THE FINANCIAL STATEMENTS OF KEOKUK VILLAGE CIRCLE, LTD., NFP, WERE AUDITED AS PART OF THE CONSOLIDATED FINANCIAL REPORT ISSUED FOR COMMUNITY LIVING OPTIONS, INC. AND SUBSIDIARIES. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. COMMUNITY LIVING OPTIONS INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 371079626 OPERATION OF LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED IL 501(C)(3) LINE 10 N/A 0 UNLIMITED DEVELOPMENT INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 364094409 OPERATES ELDERLY SKILLED NURSING,ASSISTED/INDEPNDNT LIVING FACILITIES IL 501(C)(3) LINE 10 N/A 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 SCHEDULE R, PART II: KEOKUK VILLAGE CIRCLE, LTD., NFP, IS A SUBSIDIARY OF COMMUNITY LIVING OPTIONS, INC. UNLIMITED DEVELOPMENT, INC., IS A SUBSIDIARY OF COMMUNITY LIVING OPTIONS, INC.