2026-08-31T17:08:41-05:00 2025-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 333 BUSH STREET STE 1000 SAN FRANCISCO CA 94104 990 2025-01-01 822771192 CARMEL VALLEY MANOR FOUNDATION CARM 8316241281 8545 CARMEL VALLEY ROAD CARMEL CA 93923 JAY ZIMMER PRESIDENT & CEO 8316241281 2026-08-31 1 AMY L HENDLEY P01300654 4159561500 2026-08-31 2025 JAY ZIMMER 8545 CARMEL VALLEY ROAD CARMEL CA 93923 3771688 0 X N/A X 2017 CA TO PRUDENTLY MANAGE ASSETS IN ORDER TO PROVIDE CARMEL VALLEY MANOR WITH FUNDS AS NEEDED AND TO SEEK OTHER SOURCES OF FUNDS TO INCREASE ITS ASSET BASE. 10 10 0 10 0 0 1280929 3299104 0 0 413158 472584 0 0 1694087 3771688 626064 612336 0 0 0 0 0 0 0 34282 106052 660346 718388 1033741 3053300 17087353 22554985 291 21266 17087062 22533719 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 612336 612336 0 THE FOUNDATION RAISED FUNDS FOR CARMEL VALLEY MANOR'S GRACE & FAVOR BENEVOLENCE PROGRAM AND TO SUPPORT THE BUILDING OF A MEMORY CARE CENTER ON CARMEL VALLEY MANOR'S CAMPUS. 612336 1 1 0 0 0 0 0 0 0 1 0 1 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 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 BEVERLY HAMILTON SECRETARY (AS OF 01/25) 2.00 0.00 X X 0 0 0 KEVIN CARTWRIGHT TRUSTEE 2.00 2.00 X 0 0 0 ALEXANDER CROSBY TRUSTEE 2.00 0.00 X 0 0 0 JERRY KITCHEN TRUSTEE 2.00 0.00 X 0 0 0 JOHN MAHONEY TRUSTEE 2.00 2.00 X 0 0 0 STEVE MERRELL TRUSTEE 2.00 2.00 X 0 0 0 JOHN STAPLES TRUSTEE 2.00 2.00 X 0 0 0 JAY ZIMMER PRESIDENT & CEO 5.00 40.00 X 0 626174 44875 ANN-ELISE EMERSON CHIEF FINANCIAL OFFICER 5.00 40.00 X 0 339610 66660 0 965784 111535 0 0 1 0 0 3299104 2505058 3299104 422380 422380 50204 0 50204 50204 50204 3771688 0 0 472584 612336 612336 12828 12828 20475 20475 19282 19282 16271 16271 ADMINISTRATIVE FEES 36996 36996 LICENSES & PERMITS 200 200 718388 612336 106052 0 1136518 40978 17395 21111 3949 0 15483625 17664920 445866 4827976 17087353 22554985 291 21266 291 21266 X 8426291 9519757 8660771 13013962 17087062 22533719 17087353 22554985 3053300 2393357 0 X 0 1 X 1 0 X X X 1 NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC 946050476 10 1 612336 0 1 612336 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 16130490 31500 2647899 612336 86770 18110783 15270739 358044 1150571 648864 16130490 14433806 323197 1456598 942862 15270739 17455988 138551 -2409936 750797 14433806 15667357 374752 2071046 667167 17445988 0.51900 0.31100 0.17000 0 0 0 INVESTMENT IN MEMORY CARE PROJECT 4382110 F INVESTMENT IN PRANA REALTY COMPANY 445866 F 4827976 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 QUALITY OF LIFE FOR RESIDENTS AT THE MANOR. PART X, LINE 2: THE FOUNDATION IS 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 2025 AND 2024. 1 NORTHERN CALIFORNIA CONGREGATIONAL RETIREMENT HOMES INC 8545 CARMEL VALLEY ROAD CARMEL CA 93923 946050476 501(C)(3) 612336 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 GRANT FUNDS IS ACCOMPLISHED THROUGH OVERLAPPING MANAGEMENT OF BOTH ORGANIZATIONS. 0 0 0 0 0 0 0 0 0 JAY ZIMMER PRESIDENT & CEO 0 360844 0 133130 0 132200 0 8309 0 36566 0 671049 0 0 ANN-ELISE EMERSON CHIEF FINANCIAL OFFICER 0 245136 0 94474 0 0 0 7954 0 58706 0 406270 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 AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. X 5 2505058 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN PART I, COLUMN (B). FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION'S SOLE MEMBER IS 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 TO DESIGNATE AND REMOVE TRUSTEES OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOUNDATION'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 FOUNDATION; REVIEW AND APPROVE THE MISSION STATEMENT OR LONG-RANGE PLAN OF THE FOUNDATION; APPROVE NEW PROGRAMS OR PROJECTS; APPROVE ALL TRANSFERS OF FUNDS FROM THE FOUNDATION; REMOVE THE INVESTMENT MANAGER; SELECT AUDITORS TO PREPARE AUDITED FINANCIAL STATEMENTS FOR THE FOUNDATION; 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 FOUNDATION; AND APPROVE A MERGER OR DISSOLUTION OF THE FOUNDATION 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 FOUNDATION'S ACCOUNTING AND FINANCE DEPARTMENT. A DRAFT FORM 990 IS REVIEWED BY THE CEO AND CFO AND ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF TRUSTEES 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 TRUSTEES ("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 RESIDENTS' 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 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0