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 HansenMARY HANSEN
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Vicki TessmerVICKI TESSMER
SECRETARY
- Total calculated
- $54,071
- From this org
- $0
- From related orgs
- $34,431
- Other
- $19,640
- Hours/week
- 1
-
Wayne OehlerWAYNE OEHLER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
John SchorseJOHN SCHORSE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Tom WintheiserTOM WINTHEISER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kathy ProppKATHY PROPP
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Anna FilipovaANNA FILIPOVA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Barb KnutzenBARB KNUTZEN
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Ken ArnesonKEN 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 HigginsBILLIE 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
-
EVERGREEN RETIREMENT COMMUNITY INC
$742,255
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.
-
EVERGREEN RETIREMENT COMMUNITY INC
501(C)(3) · NURSING CARE · WI
-
501(C)(3) · SENIOR LIVING · WI
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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