2025-08-04T17:22:30-05:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2024-01-01 822771192 CARMEL VALLEY MANOR FOUNDATION CARM 8316241281 8545 CARMEL VALLEY ROAD CARMEL CA 93923 JAY ZIMMER CEO 8316241281 2025-08-04 1 0 MICHAEL LUMSDEN P01262236 4159561500 2025-08-04 2024 2025-03-06 01:10:19Z JAY ZIMMER 8545 CARMEL VALLEY ROAD CARMEL CA 93923 17609350 0 X N/A X 2017 CA TO PRUDENTLY MANAGE ASSETS IN ORDER TO PROVIDE CARVEL VALLEY MANOR WITH FUNDS AS NEEDED AND TO SEEK OTHER SOURCES OF FUNDS TO INCREASE ITS ASSET BASE. 13 13 0 13 0 0 323197 1280929 0 0 1322322 413158 115 0 1645634 1694087 906862 626064 0 0 0 0 0 0 0 97777 34282 1004639 660346 640995 1033741 15315231 17087353 0 291 15315231 17087062 THE MISSION OF CARMEL VALLEY MANOR FOUNDATION IS TO PRUDENTLY MANAGE ITS ASSETS IN ORDER TO PROVIDE CARMEL VALLEY MANOR WITH FUNDS AS NEEDED AND TO SEEK OTHER SOURCES OF FUNDS TO INCREASE ITS ASSET BASE. 0 0 626064 626064 0 THE FOUNDATION RAISED FUNDS FOR CARMEL VALLEY MANOR'S GRACE & FAVOR BENEVOLENCE PROGRAM AS WELL AS TO SUPPORT THE BUILDING OF A MEMORY CARE CENTER ON CARMEL VALLEY MANOR'S CAMPUS. 626064 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 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 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X ANN-ELISE EMERSON 8216264872 8545 CARMEL VALLEY ROAD CARMEL CA 93923 TREY BUSCH CHAIR 2.00 0.00 X X 0 0 0 HARRY HANSON VICE CHAIR 2.00 0.00 X X 0 0 0 CHRIS STEINBRUNER TREASURER 2.00 0.00 X X 0 0 0 IATHAN ANNAND SECRETARY 2.00 0.00 X X 0 0 0 BERTIE BIALEK BOARD MEMBER 2.00 0.00 X 0 0 0 KEVIN CARTWRIGHT BOARD MEMBER 2.00 0.00 X 0 0 0 ALEXANDER CROSBY BOARD MEMBER 2.00 0.00 X 0 0 0 SUSAN FREELAND BOARD MEMBER 2.00 2.00 X 0 0 0 BEVERLY HAMILTON BOARD MEMBER 2.00 0.00 X 0 0 0 JERRY KITCHEN BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN MAHONEY BOARD MEMBER 2.00 0.00 X 0 0 0 STEVE MERRELL BOARD MEMBER 2.00 2.00 X 0 0 0 JOHN STAPLES BOARD MEMBER 2.00 2.00 X 0 0 0 JAY ZIMMER PRESIDENT & CEO 5.00 40.00 X 0 358167 43654 ANN-ELISE EMERSON CHIEF FINANCIAL OFFICER 5.00 40.00 X 0 213551 46188 0 571718 89842 0 0 1 0 0 161763 1119166 368511 1280929 422940 422940 15905481 15915263 -9782 -9782 -9782 1694087 0 0 413158 626064 626064 3996 3996 3100 3100 6816 6816 ADMINISTRATIVE FEES 15797 15797 4573 4573 660346 626064 34282 0 44492 1136518 11300 17395 3949 14705264 15483625 554175 445866 15315231 17087353 0 291 0 291 X 7811468 8426291 7503763 8660771 15315231 17087062 15315231 17087353 1033741 738090 0 X 0 1 X 1 0 X X X 1 NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC 946050476 10 1 626064 0 1 626064 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15270739 358044 1150571 648864 16130490 14433806 323197 1456598 942862 15270739 17455988 138551 -2409936 750797 14433806 15667357 374752 2071046 667167 17445988 14770988 90086 1443023 626730 15677367 0.51913 0.34889 0.13198 0 0 0 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE TO BE RETAINED IN PERPETUITY TO PROVIDE INCREASING INCOME TO THE MANOR AND MAY BE USED ONLY TO MEET THE STATUTORY RESERVE REQUIREMENTS OF THE STATE OF CALIFORNIA OR TO MEET UNFORESEEN EMERGENCIES IF THE ORGANIZATION'S FUNDS ARE INSUFFICIENT; ADDITIONALLY, THESE FUNDS ARE TO BE USED FOR FUNDING IMPROVEMENTS WHICH WILL SUBSTANTIALLY IMPROVE THE QUALIFY OF LIFE FOR RESIDENTS AT THE MANOR. PART X, LINE 2: THE MANOR AND THE FOUNDATION ARE EXEMPT FROM UNITED STATES FEDERAL AND CALIFORNIA INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND THE CORRESPONDING CALIFORNIA PROVISIONS, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS INCOME (UBIT) AS DEFINED BY THE IRC. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY THAN- NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2024. 1 NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC 8545 CARMEL VALLEY ROAD CARMEL CA 93923 946050476 501(C)(3) 626064 0 GRACE & FAVOR BENEVOLENCE PROGRAM AND VARIOUS CAPITAL PROJECTS 1 0 PART I, LINE 2: THE ORGANIZATION PROVIDES GRANTS TO ITS SUPPORTED ORGANIZATION, NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES, INC. (DBA CARMEL VALLEY MANOR). MONITORING OF USE OF GRANTS FUNDS IS ACCOMPLISHED THROUGH OVERLAPPING MANAGEMENT OF BOTH ORGANIZATIONS. 0 0 0 0 0 0 0 0 0 JAY ZIMMER PRESIDENT & CEO 0 358167 0 0 0 0 0 8696 0 34958 0 401821 0 0 ANN-ELISE EMERSON CHIEF FINANCIAL OFFICER 0 213551 0 0 0 0 0 1783 0 44405 0 259739 0 0 PART I, LINE 3 THE ORGANIZATION'S PRESIDENT & CEO IS COMPENSATED BY NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES, INC. (DBA CARMEL VALLEY MANOR), A RELATED ORGANIZATION. CARMEL VALLEY MANOR UTILIZED THE FOLLOWING METHODS TO DETERMINE COMPENSATION OF THE PRESIDENT & CEO: COMPENSATION SURVEY OR STUDY; APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. X 2 368511 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED (DEFINED AS EACH SEPARATE GIFT) IN SCHEDULE M, PART I, COLUMN (B). FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE SOLE MEMBER: NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES, INC. (DBA CARMEL VALLEY MANOR), A CALIFORNIA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES, INC. (DBA CARMEL VALLEY MANOR) HAS THE POWER THE DESIGNATE AND REMOVE TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE MEMBER, NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES, INC. (DBA CARMEL VALLEY MANOR), HAS THE POWER TO: APPROVE THE APPOINTMENT AND REMOVAL OF OFFICERS OF THE ORGANIZATION; REVIEW AND APPROVE THE MISSION STATEMENT OR LONG-RANGE PLAN OF THE ORGANIZATION; APPROVE NEW PROGRAMS OR PROJECTS; APPROVE ALL TRANSFERS OF FUNDS FROM THE ORGANIZATION; REMOVE THE INVESTMENT MANAGER; SELECT AUDITORS TO PREPARE AUDITED FINANCIAL STATEMENTS FOR THE ORGANIZATION; APPROVE ANY DEBT; APPROVE THE CREATION OF A SUBSIDIARY ORGANIZATION OR ACQUISITION OF A CONTROLLING INTEREST IN ANOTHER ENTITY; APPROVE AMENDMENTS TO THESE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE ORGANIZATION; AND APPROVE A MERGER OR DISSOLUTION OF THE ORGANIZATION AND/OR A TRANSFER OF ALL OR SUBSTANTIALLY ALL ASSETS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT. A DRAFT FORM 990 IS REVIEWED BY MANAGEMENT; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH COVERS ALL EMPLOYEES AND VOTING MEMBERS OF THE BOARD OF DIRECTORS ("COVERED INDIVIDUAL"). UNDER THE CONFLICT OF INTEREST POLICY, EACH COVERED INDIVIDUAL HAS AN ONGOING DUTY TO DISCLOSE TO THE PRESIDENT/CEO (OR THE BOARD, IN THE EVENT THE CONFLICTED INDIVIDUAL IS THE PRESIDENT/CEO) THE EXISTENCE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. THE CONFLICTED INDIVIDUAL IS NOT PERMITTED TO PARTICIPATE IN THE DELIBERATIONS OR DECISIONS REGARDING THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHILE ITS DETERMINED IF THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST; COPIES ARE ALSO PLACED IN THE RESIDENT'S LIBRARY. NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC 8545 CARMEL VALLEY ROAD CARMEL CA 93923 946050476 LIFE CARE FACILITY CA 501(C)(3) LINE 10 N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0