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Nonprofiteer
← PINE CONE MANOR INC

Form 990 for tax year 2022

Filed by PINE CONE MANOR INC.

Totals

Total revenue
$204,123
Total expenses
$229,919
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$204,870
Investment income
-$1,097
Other revenue
$350
Total assets, end of year
$669,394
Total liabilities, end of year
$33,613
Net assets or fund balances, end of year
$635,781
Program services expenses (Part IX)
$156,038
Management and general expenses
$73,881
Fundraising expenses
$0
Program service expenses (Part III)
$156,038

Program services were 67.9% 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.

  • 2a · Program service revenue: RESIDENT REVENUE

    total $201,119 · related or exempt $201,119

  • 2b · Program service revenue: LAUNDRY REVENUE

    total $3,751 · related or exempt $3,751

  • 3 · Investment income

    total $205 · excluded $205

  • 7a · Gross sales of assets other than inventory

    other assets $23,663

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

    other assets $24,965

  • 7c · Gain or loss

    other assets -$1,302

  • 7d · Net gain or loss

    total -$1,302 · excluded -$1,302

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $350 · excluded $350

  • 11e · Other revenue, total

    $350

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $51,462 · program services $33,881 · management and general $17,581

  • 8 · Pension plan contributions

    total $1,299 · program services $855 · management and general $444

  • 9 · Other employee benefits

    total $5,210 · program services $3,430 · management and general $1,780

  • 10 · Payroll taxes

    total $2,904 · program services $1,912 · management and general $992

  • 11a · Fees: management

    total $25,052 · management and general $25,052

  • 11c · Fees: accounting

    total $8,809 · management and general $8,809

  • 11g · Fees: other

    total $10,534 · program services $5,160 · management and general $5,374

  • 12 · Advertising and promotion

    total $557 · management and general $557

  • 13 · Office expenses

    total $8,144 · program services $4,953 · management and general $3,191

  • 14 · Information technology

    total $1,750 · program services $1,750

  • 16 · Occupancy

    total $59,980 · program services $59,980

  • 17 · Travel

    total $103 · management and general $103

  • 19 · Conferences, conventions and meetings

    total $270 · management and general $270

  • 20 · Interest

    total $108 · program services $108

  • 22 · Depreciation, depletion and amortization

    total $43,674 · program services $43,674

  • 23 · Insurance

    total $7,042 · management and general $7,042

  • 24a · Other expenses: MISCELLANEOUS EXPENSE

    total $2,058 · program services $296 · management and general $1,762

  • 24b · Other expenses: DUES & SUBSCRIPTIONS

    total $877 · program services $39 · management and general $838

  • 24c · Other expenses: PRE-ADMISSION SCREENING

    total $86 · management and general $86

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $385 · end of year $95

  • 4 · Accounts receivable

    beginning of year $643 · end of year $234

  • 10a · Land, buildings and equipment: cost or other basis

    $1,495,912

  • 10b · Land, buildings and equipment: accumulated depreciation

    $918,555

  • 10c · Land, buildings and equipment, net

    beginning of year $622,332 · end of year $577,357

  • 15 · Other assets

    beginning of year $79,555 · end of year $91,708

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,273 · end of year $9,402

  • 19 · Deferred revenue

    beginning of year $274

  • 21 · Escrow or custodial account liability

    beginning of year $10,770 · end of year $11,831

  • 25 · Other liabilities

    beginning of year $24,021 · end of year $12,380

  • 27 · Net assets without donor restrictions

    beginning of year $661,577 · end of year $635,781

Mission and programs · 2022

Mission

PROVIDE ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND SERVICES THROUGH THE OPERATION OF A 21-UNIT APARTMENT COMPLEX LOCATED IN ZIMMERMAN, MINNESOTA. THE FACILITIES ARE SPECIALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS AND TO CONTRIBUTE TO THEIR HEALTH, SECURITY AND HAPPINESS.

  • TO PROVIDE ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND SERVICES THROUGH THE OPERATION OF A 21-UNIT APARTMENT BUILDING IN ZIMMERMAN, MINNESOTA. THE FACILITIES ARE SPECIALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS AND TO CONTRIBUTE TO THEIR HEALTH, SECURITY AND HAPPINESS.

    Expenses $156,038 · Revenue $204,870

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Traci Larson

    PRESIDENT/CEO

    Total calculated
    $247,781
    From this org
    $0
    From related orgs
    $243,170
    Other
    $4,611
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $206,290 related
    Bonus
    $0 + $30,880 related
    Other
    $0 + $6,000 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $4,611 related
    Filer's total
    $0 + $247,781 related
  • Daniel Dixon

    FORMER OFFICER

    Total calculated
    $129,021
    From this org
    $0
    From related orgs
    $117,635
    Other
    $11,386
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $101,301 related
    Bonus
    $0 + $14,453 related
    Other
    $0 + $1,881 related
    Deferred
    $0 + $5,548 related
    Nontaxable benefits
    $0 + $5,838 related
    Filer's total
    $0 + $129,021 related
  • Troy Hanson

    VICE PRESIDENT/CFO

    Total calculated
    $275,804
    From this org
    $0
    From related orgs
    $241,416
    Other
    $34,388
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,649 related
    Bonus
    $0 + $21,767 related
    Other
    $0
    Deferred
    $0 + $11,483 related
    Nontaxable benefits
    $0 + $22,905 related
    Filer's total
    $0 + $275,804 related
  • Linda M Krieger

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Daryl Herrmann

    VICE CHAIR AND DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Joyce Leclaire

    DIRECTOR AND VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Charlene Sheets

    SECRETARY/TREASURER (THRU DEC 2022)

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Lynn Schuler

    DIRECTOR AND SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Dustin Campbell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Bill Hudson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Trisha Mowry

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Jeff Nagorski

    DIRECTOR (THRU DEC 2022)

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Joanie Nichols

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Julie Raitz

    DIRECTOR (THRU DEC 2022)

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Chris Robinson

    DIRECTOR (THRU DEC 2022)

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Nancy Roscoe Lloyd

    DIRECTOR (THRU DEC 2022)

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Emily Schroeder

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Arlo Schultz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Gordy Vetsch

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Gail Weber

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Nick Zerwas

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 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
THE PRESIDENT & CEO IS COMPENSATED BY GUARDIAN ANGELS OF ELK RIVER, A RELATED ORGANIZATION. THE FOLLOWING METHODS WERE USED TO ESTABLISH THE CEO'S COMPENSATION: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD 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.

Provenance

Return type
form_990
Tax year
2022
Filed
8 August 2024
IRS schema version
2022v5.0
Source object
202422279349301652

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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