2025-11-05T12:02:51-06:00 2024-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990 2024-01-01 311118091 PINES VILLAGE RETIREMENT COMMUNITIES INC PINE 2194651591 3303 PINES VILLAGE CIRCLE VALPARAISO IN 46383 MARTIN SONNENBERG CHIEF EXECUTIVE OFFICER 2194651591 2025-10-31 1 1 CASSE TATE P01271193 3175802000 2025-10-31 2024 2025-03-06 01:10:19Z MARTIN SONNENBERG 3303 PINES VILLAGE CIRCLE VALPARAISO IN 46383 6594479 0 X WWW.PINESVILLAGE.ORG X 1984 IN THE MISSION OF PINES VILLAGE RETIREMENT COMMUNITIES, INC. (PVRC) IS TO CELEBRATE LIFE BY ENRICHING THE LIVES OF OLDER ADULTS. THROUGH LOCAL PARTNERSHIPS, WE PROVIDE OLDER ADULTS IN THE VALPARAISO AREA A NETWORK OF COMMUNITY CHOICES TO LIVE WELL. 11 11 167 126 -17024 0 368445 35848 6284677 6475686 22988 53629 2075 -3848 6678185 6561315 109448 96154 0 0 3353348 3535180 0 0 0 5168754 4184861 8631550 7816195 -1953365 -1254880 26675335 25584726 20499638 20377106 6175697 5207620 X THE MISSION OF PINES VILLAGE RETIREMENT COMMUNITIES, INC. (PVRC) IS TO CELEBRATE LIFE BY ENRICHING THE LIVES OF OLDER ADULTS. THROUGH LOCAL PARTNERSHIPS, WE PROVIDE OLDER ADULTS IN THE VALPARAISO AREA A NETWORK OF COMMUNITY CHOICES TO LIVE WELL. 0 0 4874058 96154 5486173 RESIDENTIAL SERVICES: PINES VILLAGE IS A NON-PROFIT CORPORATION THAT PROVIDES CONTINUING CARE RETIREMENT COMMUNITY SERVICES. IN 2024, THE ORGANIZATION SERVED 117 RESIDENTS ON ITS 9 ACRE CAMPUS. WE OFFER RESIDENTS A FULL RANGE OF ACCOMMODATIONS WITH INDEPENDENT LIVING APARTMENTS, HOME HEALTH CARE SERVICES, DINING SERVICES, WELLNESS CENTER, SOCIAL SERVICES, TRANSPORTATION SERVICES, DIVERSE AND INTERGENERATIONAL PROGRAMMING AND DAILY RECREATIONAL ACTIVITIES THAT ENCOURAGE INDIVIDUALS TO ENGAGE IN LIFE. RESIDENTIAL LIVING IS ALSO PROVIDED IN DUET HOMES AT MERIDIAN WOODS ON 39 ACRES. THE 109 RESIDENTS THERE ARE GIVEN PRIORITY ACCESS TO PINES VILLAGE APARTMENTS WITH ACCESS TO HOME CARE, HOUSEKEEPING SERVICES, TRANSPORTATION, DINING SERVICES, AND HANDYMAN SERVICES. STAFF PARTICIPATE WITH MANY COMMUNITY PARTNERS IN NUMEROUS LOCAL, STATE AND NATIONAL ORGANIZATIONS, INCLUDING ELDERSTYLE AND LEADING AGE. A TOTAL OF 7,110 HOURS WERE DEVOTED TO BOTH COMMUNITY AND NON-RESIDENT SENIOR ACTIVITIES. RESIDENTS ARE ELIGIBLE TO REQUEST FINANCIAL SUPPORT FROM PINES VILLAGE IF THEIR ASSETS ARE DEPLETED DUE TO LONGEVITY. ALL REQUESTS ARE EVALUATED AND REVIEWED, AND SUBSIDY IS PROVIDED IF THEY QUALIFY WHILE PRESERVING PINES VILLAGE'S ABILITY TO OPERATE IN A FINANCIALLY SOUND MANNER. 1068287 425634 NUTRITIONAL SERVICES: PINES VILLAGE PROVIDES DINING SERVICES TO ITS RESIDENTS. ADDITIONALLY IN 2024, PINES VILLAGE PROVIDED 70,168 FREE OR LOW-COST MEALS TO SENIORS IN THE COMMUNITY AT BANTA SENIOR CENTER, THROUGH LOCAL MEALS ON WHEELS PROGRAM, AND AT PINES VILLAGE'S VETERANS BREAKFAST CLUB WHICH IS OPEN TO THE COMMUNITY. 734447 563879 HOME HEALTH CARE SERVICES: PINES VILAGE'S STATE LICENSED PRIVATE DUTY HOME HEALTH CARE AGENCY PROVIDED SERVICES IN 2024 TO 42 SENIORS. AVAILABLE HOME HEALTH SERVICES INCLUDED HOME HEALTH AIDE ASSISTANCE WITH GROOMING, BATHING, DRESSING, LIGHT HOUSEKEEPING, SNACK/MEAL PREPARATION, MEAL DELIVERY, AS WELL AS HEALTH-CARE MONITORING, MEDICATION ASSISTANCE, AND COORDINATION OF CARE BY A REGISTERED NURSE. 6676792 1 1 0 0 0 0 0 1 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 34 0 1 167 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 IN X JOHN DUEY 2194651591 3303 PINES VILLAGE CIRCLE VALPARAISO IN 46383 DOUG SMITH CHAIR 1.00 X X 0 0 0 TODD WAGENBLAST TREASURER 1.00 X X 0 0 0 MARILYN BUCZKOWSKI SECRETARY 1.00 X X 0 0 0 JOAN BONDI THRU 8272024 DIRECTOR 1.00 X 0 0 0 CALEB WALMA DIRECTOR 1.00 X 0 0 0 GEORGE DOUGLAS DIRECTOR 1.00 X 0 0 0 TIM SCANNELL DIRECTOR 1.00 X 0 0 0 SCOTT BOZIK DIRECTOR 1.00 X 0 0 0 JOEL TROXEL DIRECTOR 1.00 X 0 0 0 WILLIAM FOY DIRECTOR 1.00 X 0 0 0 JOHN SEIBERT DIRECTOR 1.00 X 0 0 0 SCOTT RICE DIRECTOR 1.00 X 0 0 0 DENISE SCHROEDER THRU 124 CHIEF FINANCIAL OFFICER 40.00 X 22352 0 894 JOHN DUEY BEG 12624 CHIEF FINANCIAL OFFICER 40.00 X 95775 0 13951 MARTIN SONNENBERG CHIEF EXECUTIVE OFFICER 40.00 X 173250 0 24226 291377 0 39071 1 0 1 0 DORE & ASSOCIATES INC PO BOX 338 BAY CITY MI 48707 CONSTRUCTION CONTRACTOR 142745 1 7500 28348 35848 SERVICE REVENUE 623000 5298624 5298624 RESIDENT SERVICES 812900 536999 536999 RESIDENT/EMPLOYEE MEAL 722210 425634 425634 AMORTIZATION OF ENTRAN 623990 214429 214429 6475686 53629 53629 16140 33164 -17024 -17024 -17024 13176 13176 13176 6561315 6475686 -17024 66805 96154 96154 330448 330448 2643317 2405461 237856 83917 62963 20954 264112 231592 32520 213386 176432 36954 1405 1405 32800 32800 40361 40361 242734 36554 206180 80325 559 79766 2034 2034 867934 844977 22957 3023 2688 335 414893 402305 12588 1440481 1410830 29651 209860 201238 8622 FOOD 483480 483480 SUPPLIES 202932 187015 15917 EQUIPMENT AND REPAIRS 95126 87160 7966 LOSS ON ABANDONED ASSET 13793 12313 1480 53680 35071 18609 7816195 6676792 1139403 0 635879 188049 1959771 2019268 71504 94959 94433 97600 45662880 25949856 20633651 19713024 3086470 3278860 193627 192966 26675335 25584726 356634 497140 1044273 1117762 7135170 6794069 78579 0 11884982 11968135 20499638 20377106 X 4682461 3701108 1493236 1506512 6175697 5207620 26675335 25584726 X -1254880 263561 23242 X X 0 1 X 1 0 X 2903642 76869 249501 368445 35848 3634305 6597537 6078945 6049666 6284677 6475686 31486511 9501179 6155814 6299167 6653122 6511534 35120816 10000 10000 0 10000 10000 35110816 39769 33101 22916 39068 53629 188483 39769 33101 22916 39068 53629 188483 90193 90193 91098 12691 56140 18956 13176 192061 9632046 6201606 6468416 6711146 6578339 35591553 0.98650 0.98590 0.00530 0.00530 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2020 AMOUNT: $ 91,098. 2021 AMOUNT: $ 12,691. 2022 AMOUNT: $ 56,140. 2023 AMOUNT: $ 18,956. 2024 AMOUNT: $ 13,176. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45635 X X 0 757031 11 68820 34041 9794 782027 672971 17692 99208 24050 8790 757031 805696 100 -99654 24500 8671 672971 704495 300 137661 27091 9669 805696 669848 2220 67916 27803 7686 704495 0.70602 0.29398 1 0 3388422 3388422 35259989 21201229 14058760 2279340 1869022 410318 4735129 2879605 1855524 19713024 FUNDS HELD AT COMMUNITY FOUNDATION 3278860 F 3278860 REFUNDABLE RESIDENTS DEPOSITS 2300 REFUNDABLE LIFE USE FEES 9783629 PROVISION FOR INTEREST RATE SWAP AGREEMENT 23945 ENTRANCE FEE LIABILITY 636300 OTHER LOANS PAYABLE 1474070 CAPITAL LEASE OBLIGATIONS 47891 11968135 X 6756399 263561 33165 296726 6459673 40361 61281 101642 6561315 7747718 33165 33165 7714553 40361 61281 101642 7816195 PART III, LINE 4: THE ART GALLERY AT PINES VILLAGE OFFERS ARTISTIC EXPERIENCES TO THE COMMUNITY TO ENHANCE ITS APPRECIATION AND UNDERSTANDING OF VARIOUS ART FORMS. PART V, LINE 4: THE DONORS INTENDED THE ENDOWMENT FUNDS TO BE USED TO PROVIDE RESOURCES TO RESIDENTS WHEN FINANCIAL CIRCUMSTANCES CHANGE. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS UNRELATED BUSINESS INCOME RELATED TO CERTAIN RENTAL ACTIVITIES AND THE CAFE; HOWEVER, THERE WAS NO TAXABLE INCOME AFTER DEDUCTIONS FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023. THE ORGANIZATION FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION AND INCOME TAX RETURNS. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2021. MANAGEMENT BELIEVES THAT THE ORGANIZATION'S INCOME TAX FILING POSITIONS WILL BE SUSTAINED ON AUDIT AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WILL RESULT IN MATERIAL CHANGE. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 33,165. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANTS NETTED AGAINST REVENUE 41,281. VETERAN ASSISTANCE 20,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 33,165. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANTS NETTED AGAINST REVENUE 41,281. VETERAN ASSISTANCE 20,000. 1 SCHOLARSHIPS 11 34873 RESIDENT ASSISTANCE 7 41281 VETERAN ASSISTANCE 8 20000 PART I, LINE 2: THE ORGANIZATION HAS AN ESTABLISHED POLICY AND PROCEDURE FOR GRANTING RESIDENT ASSISTANCE GRANTS. RESIDENTS APPLY AND PROVIDE RELEVANT INFORMATION TO THE CEO AND CFO. A DETERMINATION IS MADE AND AWARDS OF UP TO 25% OF THE MONTHLY RENTAL FEE ARE AWARDED SUBJECT TO AVAILABILITY. AMOUNTS IN EXCESS OF 25% ARE PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD FOR APPROVAL. ASSISTANCE GRANTS ARE EVALUATED ANNUALLY IN OCTOBER IN CONJUNCTION WITH THE BUDGETING PROCESS AND RESIDENTS ARE NOTIFIED OF THEIR ASSISTANCE AMOUNT FOR THE COMING YEAR. INFORMATION IS TRACKED IN THE BILLING AND INVOICE PROCESS. EMPLOYEES WHO HAVE WORKED A MINIMUM OF 650 HOURS ARE ELIGIBLE TO APPLY FOR SCHOLARSHIP FUNDS. SCHOLARSHIPS ARE PAID DIRECTLY TO THE COLLEGE, UNIVERSITY OR ACCREDITED INSTITUTION OF HIGHER LEARNING IN WHICH THEY ARE ENROLLED. EMPLOYEES MUST SUBMIT AN APPLICATION. THE ORGANIZATION DETERMINES AT ITS SOLE DISCRETION WHEN SCHOLARSHIPS ARE AWARDED. X X X 0 0 0 0 0 0 0 0 0 MARTIN SONNENBERG CHIEF EXECUTIVE OFFICER 173250 0 0 0 0 0 6930 0 17296 0 197476 0 0 0 A CITY OF VALPARAISO INDIANA 356001217 920283CB2 2008-05-15 10595000 FUND REPOSITIONING PROJECT 0 0 0 A 10595000 268275 1106604 8910924 2009 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 SCHEDULE K, PART II, LINE 7: THE AMOUNT REPORTED ON LINE 7 IS GREATER THAN 2% OF THE BOND PROCEEDS. THE TOTAL REPORTED INCLUDES BOND ISSUANCE COSTS OF $211,845 (2% OF PROCEEDS) AND AN ADDITIONAL $48,535 WAS INCURRED FOR THE LETTER OF CREDIT, TITLE INSURANCE, SURVEY, AND APPRAISAL RELATED TO BOND CLOSING COSTS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS CAN ACCESS A DRAFT OF FORM 990 ON A SECURE PART OF THE ORGANIZATION'S WEB SITE. THEY HAVE AN OPPORTUNITY TO REVIEW IT PRIOR TO DISCUSSION AT THE BOARD MEETING. AT THAT TIME, THE RETURN IS REVIEWED COLLECTIVELY AND APPROVED BY THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST STATEMENTS ARE SIGNED ON AN ANNUAL BASIS IN THE MONTH OF MAY. THE BOARD PRESIDENT AND CEO REVIEW FOR ANY POTENTIAL CONFLICTS AND THESE ARE BROUGHT TO THE ATTENTION OF THE ENTIRE BOARD. BOARD MEMBERS RECEIVE TRAINING ON AN ANNUAL BASIS BY THE CORPORATE ATTORNEY WHO SPECIFICALLY ADDRESSES BOARD RESPONSIBILITIES AND CONFLICTS. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER IS REQUESTED TO ABSTAIN FROM VOTING ON ISSUES AND THIS IS RECORDED IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 15 BOARD MEMBERS RESPOND TO A QUESTIONNAIRE ANNUALLY ABOUT THE CEO'S PERFORMANCE. THEY ALSO REVIEW THE PAY AND BENEFITS SURVEY INFORMATION FOR SIMILAR ORGANIZATIONS IN INDIANA WHEN SETTING COMPENSATION. THE BOARD PRESIDENT THEN MEETS WITH THE CEO TO DISCUSS THE BOARD'S RECOMMENDATIONS AND NEGOTIATE THE WAGE AND BENEFIT PACKAGE WHICH ALSO INCLUDES TECHNOLOGY TO HELP THE CEO STAY IN TOUCH WHEN NOT ONSITE. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, AUDITED FINANCIAL STATEMENTS AND ANNUAL DISCLOSURE DOCUMENTS (PROVIDED TO THE STATE OF INDIANA) ARE ALL AVAILABLE UPON REQUEST. WE PROVIDE NOTICE TO ALL RESIDENTS EACH YEAR THAT COPIES OF BOTH DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST SWAP AGREEMENTS 23,242. FORM 990, PART XII, LINE 2C: THERE WERE NO CHANGES TO THE PROCESS FOR AUDIT OVERSIGHT OR INDEPENDENT ACCOUNTANT SELECTION DURING THE TAX YEAR