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← EVERGREEN MANOR FOUNDATION INC

Form 990 for tax year 2022

Filed by EVERGREEN MANOR FOUNDATION INC.

Totals

Total revenue
$1,740,291
Total expenses
$1,029,959
Contributions and grants received
$754,808
Grants paid
$742,255
Program service revenue
$0
Investment income
$985,483
Other revenue
$0
Total assets, end of year
$19,987,827
Total liabilities, end of year
$121,329
Net assets or fund balances, end of year
$19,866,498
Program services expenses (Part IX)
$758,399
Management and general expenses
$141,937
Fundraising expenses
$129,623
Program service expenses (Part III)
$758,399

Program services were 73.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $754,808

  • 3 · Investment income

    total $379,398 · excluded $379,398

  • 7a · Gross sales of assets other than inventory

    securities $6,081,388

  • 7b · Less cost or other basis and sales expenses

    securities $5,475,303

  • 7c · Gain or loss

    securities $606,085

  • 7d · Net gain or loss

    total $606,085 · excluded $606,085

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $742,255 · program services $742,255

  • 11a · Fees: management

    total $142,078 · management and general $12,455 · fundraising $129,623

  • 11c · Fees: accounting

    total $11,082 · management and general $11,082

  • 11f · Fees: investment management

    total $115,619 · management and general $115,619

  • 11g · Fees: other

    total $16,144 · program services $16,144

  • 13 · Office expenses

    total $200 · management and general $200

  • 24a · Other expenses: SUPPLIES

    total $1,553 · management and general $1,553

  • 24b · Other expenses: MISCELLANEOUS

    total $934 · management and general $934

  • 24c · Other expenses: LICENSES AND FEES

    total $94 · management and general $94

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,057 · end of year $5,418

  • 3 · Pledges and grants receivable

    beginning of year $869,233 · end of year $15,109

  • 11 · Investments: publicly traded securities

    beginning of year $20,782,504 · end of year $18,411,674

  • 15 · Other assets

    beginning of year $1,954,531 · end of year $1,555,626

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $701

  • 25 · Other liabilities

    beginning of year $160,403 · end of year $120,628

  • 27 · Net assets without donor restrictions

    beginning of year $17,180,510 · end of year $13,863,283

  • 28 · Net assets with donor restrictions

    beginning of year $6,269,412 · end of year $6,003,215

Mission and programs · 2022

Mission

EVERGREEN FOUNDATION, INC. RECEIVES GIFTS AND BEQUESTS, RAISES FUNDS FOR SPECIFIC PROJECTS OR NEEDS, ADMINISTERS AND INVESTS FUNDS, AND DISBURSES PAYMENTS TO AND ON BEHALF OF EVERGREEN RETIREMENT COMMUNITY, INC.

Activities or mission (Part I)

TO USE AND SECURE RESOURCES IN SUPPORT OF THE EVERGREEN RETIREMENT COMMUNITY VISION.

  • THE EVERGREEN FOUNDATION SUPPORTS THE EVERGREEN VISION TO BE A "VIBRANT COMMUNITY THAT OFFERS RICH LIFE EXPERIENCES AND CHOICES IN PROGRAMS, SERVICES, AND ENVIRONMENTS FOR THOSE WE SERVE" THROUGH CHARITABLE CONTRIBUTIONS, LEAVE A LEGACY DESIGNATIONS AND VOLUNTEER INVOLVEMENT.THE EVERGREEN FOUNDATION HELPS PROVIDE DIGNITY, COMFORT AND SECURITY FOR THOSE WHO CALL EVERGREEN HOME; ENHANCES THE LIVING ENVIRONMENTS AND EXPERIENCES OFFERED TO THE RESIDENTS; AND SUPPORTS THE ACTIVITIES THE RESIDENTS ENJOY.

    Expenses $758,399 · Grants $742,255

As filed on the 2022 return.

Listed in Part VII

  • Mary Hansen

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Vicki Tessmer

    SECRETARY

    Total calculated
    $54,071
    From this org
    $0
    From related orgs
    $34,431
    Other
    $19,640
    Hours/week
    1
  • Wayne Oehler

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • John Schorse

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Tom Wintheiser

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Kathy Propp

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Anna Filipova

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Barb Knutzen

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Ken Arneson

    PRESIDENT/CEO

    Total calculated
    $282,435
    From this org
    $0
    From related orgs
    $266,169
    Other
    $16,266
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,169 related
    Bonus
    $0 + $15,000 related
    Other
    $0
    Deferred
    $0 + $15,959 related
    Nontaxable benefits
    $0 + $307 related
    Filer's total
    $0 + $282,435 related
  • Billie Jo Higgins

    VP FINANCE AND IS/TREASURE

    Total calculated
    $165,959
    From this org
    $0
    From related orgs
    $156,404
    Other
    $9,555
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $150,052 related
    Bonus
    $0 + $6,352 related
    Other
    $0
    Deferred
    $0 + $9,380 related
    Nontaxable benefits
    $0 + $175 related
    Filer's total
    $0 + $165,959 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE FOUNDATION RELIES ON A RELATED ORGANIZATION, EVERGREEN RETIREMENT COMMUNITY, INC. TO DETERMINE THE COMPENSATION FOR THE CEO/PRESIDENT. THE RELATED ORGANIZATION USED THE FOLLOWING PRACTICES TO DETERMINE THE COMPENSATION FOR THE CEO/PRESIDENT: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 6
PRESIDENT/CEO (KEN ARNESON), CFO/TREASURER (BILLIE JO HIGGINS), EXECUTIVE ASSISTANT/SECRETARY (VICKI TESSMER) OF EVERGREEN RETIREMENT COMMUNITY, AS MEMBERS OF THE MANAGEMENT TEAM, RECEIVE AN ANNUAL BONUS, PART OF WHICH RELATES TO THE NET INCOME OF THE ORGANIZATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

  • BENEVOLENT NEED, SPECIAL PROJECTS (RESTRICTED FUNDS), GROUNDS BEAUTIFICATION, AND SPECIAL PROJECTS APPROVED BY THE BOARD (UNRESTRICTED FUNDS).

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • EVERGREEN VILLAGE INC

    C · CO-OPERATIVE · WI

Provenance

Return type
form_990
Tax year
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202313179349303666

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