Form 990 for tax year 2023
Filed by LYNGBLOMSTEN SENIOR HOUSING INC.
Totals
- Total revenue
- $0
- Total expenses
- $0
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- -$1,837,176
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- -$1,837,176
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Listed in Part VII
-
JEFF HEINECKE
PRESIDENT & CEO
- Total calculated
- $339,084
- From this org
- $0
- From related orgs
- $293,425
- Other
- $45,659
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $274,307 related
- Bonus
- $0 + $7,901 related
- Other
- $0 + $11,217 related
- Deferred
- $0 + $11,978 related
- Nontaxable benefits
- $0 + $33,681 related
- Filer's total
- $0 + $339,084 related
-
DEBRA GEORGE
CHAIR
- Total calculated
- $0
- Hours/week
- 0.5 + 5.5 related
-
REV IVY HUSTON
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 0.5 + 5.5 related
-
DIANA ROCKSTAD
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.5 + 5.5 related
-
REV MARTIN ERICSON
SECRETARY (THRU MAY 2023)
- Total calculated
- $0
- Hours/week
- 0.5 + 5.5 related
-
DR MARK KNUDSON
TREASURER
- Total calculated
- $0
- Hours/week
- 0.5 + 5.5 related
-
JOAN BRANDT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 3.5 related
-
JUSTIN BRYANT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 3.5 related
-
MARY HAUCK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 3.5 related
-
KIM DONAT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 3.5 related
-
AMY KORZENOWSKI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 3.5 related
-
DR MICHAEL LOVETT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 3.5 related
-
PAULETTE OLESON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 3.5 related
-
PETER POLGA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 3.5 related
-
BRADLEY J JACOBSON MAY 2023
CFO
- Total calculated
- $140,549
- From this org
- $0
- From related orgs
- $118,534
- Other
- $22,015
- Hours/week
- 0.5 + 39.5 related
-
TODD FLIFLET
CFO
- Total calculated
- $212,676
- From this org
- $0
- From related orgs
- $166,408
- Other
- $46,268
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $155,931 related
- Bonus
- $0 + $6,014 related
- Other
- $0 + $4,463 related
- Deferred
- $0 + $6,966 related
- Nontaxable benefits
- $0 + $39,302 related
- Filer's total
- $0 + $212,676 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
None.
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
- 6b · Pay contingent on a related 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
- LYNGBLOMSTEN CARE CENTER, INC. PAYS THE COMPENSATION FOR THE OFFICERS AND EMPLOYEES OF THE ORGANIZATION. LYNGBLOMSTEN CARE CENTER, INC. USES THE FOLLOWING WHEN DETERMINING COMPENSATION FOR OFFICERS AND EMPLOYEES: (1) COMPENSATION COMMITTEE, (2) INDEPENDENT COMPENSATION CONSULTANT, (3) COMPENSATION SURVEY OR STUDY, AND (4) APPROVAL BY BOARD OF DIRECTORS OR COMPENSATION COMMITTEE.
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
No itemized grants to organizations on this return.
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.
-
501(C)(3) · LOW INCOME SENIOR HOUSING · MN · controlled entity
Directly controlled by LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC
-
501(C)(3) · MARKET RATE SENIOR HOUSING, ASSISTED LIVING SERVIES · MN · controlled entity
Directly controlled by LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC
-
501(C)(3) · FUNDRAISING FOR LYNGBLOMSTEN · MN
Directly controlled by LYNGBLOMSTEN
-
501(C)(3) · SENIOR CENTER, COMMUNITY SERVICES, HOME HEALTH · MN
Directly controlled by LYNGBLOMSTEN
-
501(C)(3) · NURSING CARE TO ELDERLY · MN
Directly controlled by LYNGBLOMSTEN
-
501(C)(3) · MANAGEMENT OVERSIGHT SERVICES TO ALL LYNGBLOMSTEN ORGANIZATIONS · MN
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 24 October 2024
- IRS schema version
- 2023v5.1
- Source object
- 202442999349300134
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