Form 990 for tax year 2023
Filed by EVERGREEN MANOR FOUNDATION INC.
Totals
- Total revenue
- $1,108,819
- Total expenses
- $1,421,512
- Contributions and grants received
- $885,412
- Grants paid
- $1,184,170
- Program service revenue
- $0
- Investment income
- $223,407
- Other revenue
- $0
- Total assets, end of year
- $22,030,908
- Total liabilities, end of year
- $578,362
- Net assets or fund balances, end of year
- $21,452,546
- Program services expenses (Part IX)
- $1,197,439
- Management and general expenses
- $98,317
- Fundraising expenses
- $125,756
- Program service expenses (Part III)
- $1,197,439
Program services were 84.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
MARY HANSEN
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
BARB KNUTZEN
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
ANNA FILIPOVA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DARRICK MUNSCH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
WAYNE OEHLER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
KATHY PROPP
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
-
ALYSON ZIERDT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
KEN ARNESON
PRESIDENT/CEO
- Total calculated
- $306,587
- From this org
- $0
- From related orgs
- $284,401
- Other
- $22,186
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $273,151 related
- Bonus
- $0 + $11,250 related
- Other
- $0
- Deferred
- $0 + $17,053 related
- Nontaxable benefits
- $0 + $5,133 related
- Filer's total
- $0 + $306,587 related
-
BILLIE JO HIGGINS
VP FINANCE & IS/TREASURER
- Total calculated
- $170,066
- From this org
- $0
- From related orgs
- $159,608
- Other
- $10,458
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $156,027 related
- Bonus
- $0 + $3,581 related
- Other
- $0
- Deferred
- $0 + $9,573 related
- Nontaxable benefits
- $0 + $885 related
- Filer's total
- $0 + $170,066 related
-
VICKI TESSMER
SECRETARY
- Total calculated
- $52,167
- From this org
- $0
- From related orgs
- $33,075
- Other
- $19,092
- Hours/week
- 1
-
STEPHANIE KINTOPF
SECRETARY
- Total calculated
- $8,424
- From this org
- $0
- From related orgs
- $8,424
- Other
- $0
- Hours/week
- 1
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
$1,184,170
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.
-
C · CO-OPERATIVE · WI
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 21 October 2024
- IRS schema version
- 2023v5.1
- Source object
- 202403039349302110
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