2023-11-02T11:13:36-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 900 ORLANDO FL 32801 990 2022-01-01 330649848 CONNECT SENIOR SERVICES INC CONN 9909851215 1125 W ARROW HIGHWAY UPLAND CA 91786 NICHOLAS HANKINS EXECUTIVE DIRECTOR 9099851215 2023-11-02 1 NICHOLAS HANKINS 999009999 1 TINA HENTON P00630282 4078021200 2023-11-02 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X NICHOLAS HANKINS 1125 W ARROW HIGHWAY UPLAND CA 91786 1099564 0 X WWW.UPLANDMANOR.COM X 1994 CA THE MANOR FOCUSES ON PROVIDING WHOLE CARE FOR BOTH THE BODY AND SOUL. AS PART OF THE PACIFIC CONFERENCE OF THE BRETHREN IN CHRIST CHURCH, THE MANOR LOOKS TO PROVIDE AN INVITING, LOVING COMMUNITY WHERE WE PROVIDE A HOLISTIC LIVING EXPERIENCE THAT FOCUSES ON BOTH BODY AND SOUL. 8 8 10 125 0 0 45723 20053 751359 965680 41954 25821 -32685 12636 806351 1024190 0 136196 0 0 320522 383239 0 0 57588 411324 452451 731846 971886 74505 52304 3885440 3769322 658240 623541 3227200 3145781 TO ENRICH THE LIVES OF SENIOR INDIVIDUALS BY PROVIDING SERVICES AND FACILITIES IN A CHRISTIAN ENVIRONMENT FOR ACTIVE ADULTS 55 YEARS AND OLDER WHO CAN LIVE WITHOUT THE INTERVENTION OF OTHERS. 0 0 890860 136196 978316 THE MANOR HAS 50 APARTMENTS, RANGING FROM STUDIOS TO 1 BEDROOM TO 2 BEDROOM UNITS, AND OFFERS COMPETITIVELY PRICED APARTMENTS FOR ANYONE 55 YEARS OR OLDER. ADDITIONALLY, THE MANOR HAS A HOST OF FREE AND LOW COST AMENITIES, WHICH PROVIDE COMFORT AND CARE FOR OUR RESIDENTS. 890860 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 10 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 CA X NICK HANKINS 9099851215 1125 W ARROW HIGHWAY UPLAND CA 91786 TODD RETTBERG CHAIRMAN 1.00 X X 0 0 0 MARGARITA BLOODWORTH VICE CHAIR 1.00 X X 0 0 0 JERRY LINDSAY TREASUER 1.00 X X 0 0 0 JIM MUSSER SECRETARY 1.00 X X 0 0 0 MARK ALLERTON TRUSTEE 1.00 X 0 0 0 CLARK BLOODWORTH TRUSTEE 1.00 X 0 0 0 CARMAN HALL TRUSTEE 1.00 X 0 0 0 JEAN KIVIAHO TRUSTEE 1.00 X 0 0 0 NICHOLAS HANKINS EXECUTIVE DIRECTOR 40.00 X 74250 0 30957 74250 0 30957 0 0 0 0 0 20053 20053 SENIOR LIVING APARTMEN 900099 838555 838555 DINING SERVICES 900099 109429 109429 HOUSEKEEPING & LAUNDRY 900099 13141 13141 OTHER PROGRAM REVENUE 900099 4555 4555 965680 25821 25821 52010 75374 -23364 -23364 -23364 MANAGEMENT FEE REVENUE 900099 36000 36000 36000 1024190 978316 0 25821 136196 136196 105207 84125 10497 10585 225138 190602 10553 23983 29859 24995 350 4514 23035 16558 600 5877 27623 27623 219 219 3189 3014 175 1518 1518 25293 25249 44 159826 159826 3079 3079 69169 69169 32888 32888 MANAGEMENT FEE EXPENSE 36000 36000 OTHER 31009 18380 12629 FOOD & SUPPLIES 29462 29462 AFFILIATION DISCOUNT 25743 25743 7433 6433 1000 971886 890860 23438 57588 8064 132293 108845 404 8277 9831 4421386 1405201 2994431 3016185 729072 604425 9541 9623 11422 12349 3885440 3769322 24373 17900 633867 605641 658240 623541 X 3090275 2988105 136925 157676 3227200 3145781 3885440 3769322 52304 -133723 0 X X 0 1 X 1 0 X 29401 7608 32634 30723 20053 120419 636897 670068 678461 751359 803741 3540526 666298 677676 711095 782082 823794 3660945 0 0 0 3660945 96133 86627 72484 41954 77612 374810 96133 86627 72484 41954 77612 374810 530 36000 36530 762961 764303 783579 824036 937406 4072285 0.89900 0.89970 0.09200 0.10020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2018 AMOUNT: $ 530. 2022 AMOUNT: $ 36,000. FLOWER FUND - 100783 4380 -6738 98425 83398 4835 12550 100783 76375 3736 3287 83398 64424 1017 10934 76375 65596 2420 -1552 2040 64424 0.66605 0.33395 0 0 1703024 1703024 2212746 1309074 903672 121400 96127 25273 384216 384216 3016185 DUE TO RELATED PARTY 551278 DEPOSITS 54363 605641 X 728309 -133723 -133723 862032 162158 162158 1024190 809728 0 809728 162158 162158 971886 PART V, LINE 4: TO BE USED FOR ITS CHARITABLE PURPOSE - PROVIDE INDEPENDENT SENIOR LIVING IN AN INVITING, LOVING CHRISTIAN COMMUNITY THROUGH HOLISTIC LIVING. PART X, LINE 2: THE MANOR IS A CALIFORNIA NONPROFIT RELIGIOUS CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) AND IS EXEMPT FROM CALIFORNIA FRANCHISE TAXES UNDER SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE. THE MANOR HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED ARE RELATED TO THE MANOR'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE MANOR FILES INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE MANOR IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR GENERALLY THREE AND FOUR YEARS, RESPECTIVELY. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 219. RENTAL ASSISTANCE 136,196. AFFILIATION DISCOUNT 25,743. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 219. RENTAL ASSISTANCE 136,196. AFFILIATION DISCOUNT 25,743. 0 RENTAL ASSISTANCE 51 136196 FORM 990, PART VI, SECTION A, LINE 2 MARGARITA AND CLARK BLOODWORTH ARE SPOUSES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES ANY DIRECTOR, PRINCIPAL OFFICER OR COMMITTEE MEMBER TO SELF REPORT AN ACTUAL OR POSSIBLE CONFLICT TO THE BOARD OR EXECUTIVE COMMITTEE. UPON PRESENTING THE POTENTIAL CONFLICT, THE PARTY WILL BE EXCUSED AND THE REMAINING MEMBERS WILL DECIDE IF A CONFLICT EXISTS. IF IT'S NOT POSSIBLE TO DETERMINE IF A CONFLICT EXISTS, AN OUTSIDE PARTY MAY BE USED TO DETERMINE IF A CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD REVIEWS AND APPROVES COMPENSATION FOR THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION IS MADE AVAILABLE UPON AUTHORIZED REQUEST. FORM 990, PART XII LINE 2C THERE WERE NO CHANGES IN THE OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. PART VI, SECTION A, LINE 1A THE BOARD OF TRUSTEES HAS DELEGATED TO THE EXECUTIVE COMMITTEE MATTERS CALLING FOR DECISION OR SUPERVISION BETWEEN REGULAR BOARD OF TRUSTEE MEETINGS. THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CHAIRMAN, THE SECRETARY, THE TREASURER AND SUCH OTHER MEMBERS AS ANNUALLY ELECTED TO THE COMMITTEE BY THE BOARD OF TRUSTEES. BRETHREN IN CHRIST US - PACIFIC CONFERENCE 852 ALPHINE STREET SUITE 2 UPLAND CA 91786 956124454 CHURCH CA 501(C)(3) LINE 1 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BRETHERN IN CHRIST US - PACIFIC CONFERENCE E 551278 OUTSTANDING BALANCE