2023-11-10T11:13:42-06:00 2022-12-31 943108253 NOVOGRADAC & COMPANY LLP 1435 N MCDOWELL BLVD SUITE 350 PETALUMA CA 94954 990 2022-01-01 770139108 SR SENIOR HOUSING INC SRSE 6503562900 303 VINTAGE PARK DRIVE 250 FOSTER CITY CA 94404 MICHAEL J VERGURA PRESIDENT 6503562900 2023-11-10 1 MICHAEL VERGURA 999009999 1 LANCE SMITH P00696626 4152236130 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MATTHEW O FRANKLIN 303 VINTAGE PARK DRIVE 250 FOSTER CITY CA 94404 322307 0 X WWW.MIDPEN-HOUSING.ORG X 1986 CA THE ORGANIZATION DEVELOPS AND OPERATES AFFORDABLE HOUSING APARTMENTS FOR LOW INCOME, ELDERLY AND PERSONS WITH DISABILITIES. 3 3 0 0 0 0 0 0 431117 322307 0 0 0 0 431117 322307 68051 283482 0 0 0 0 0 0 0 33811 126140 101862 409622 329255 -87315 5876792 5861140 2888424 2960087 2988368 2901053 X TO PROVIDE SAFE, AFFORDABLE HOUSING OF HIGH QUALITY TO THOSE IN NEED OF IT; TO ESTABLISH STABILITY AND OPPORTUNITY IN THE LIVES OF ITS RESIDENTS; AND TO FOSTER COMMUNITIES THAT ALLOW PEOPLE FROM ALL ETHIC, SOCIAL AND ECONOMIC BACKGROUNDS TO LIVE IN DIGNITY, HARMONY, AND MUTUAL RESPECT. 0 0 407872 283482 322307 THE ENTITY SERVES AS GENERAL PARTNER IN SR FOUNTAINS LIMITED PARTNERSHIP, WHICH OWNS AND OPERATES AFFORDABLE HOUSING FOR THE BENEFIT OF LOW INCOME FAMILIES. 407872 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 CA X X THE ORGANIZATION 6503562900 303 VINTAGE PARK DRIVE 250 FOSTER CITY CA 94404 X ERIN WELCH VICE PRESIDENT 0.10 X X 0 0 0 KATHERINE FLEMING CFO AND TREASURER 0.10 X X 0 0 0 MICHAEL J VERGURA PRESIDENT 0.10 X X 0 0 0 JANINE LIND SECRETARY 0.10 X 0 0 0 MATTHEW O FRANKLIN SECRETARY 0.10 X 0 0 0 0 0 0 0 0 0 0 0 GROUND LEASE INTEREST 531390 149306 149306 GROUND LEASE INCOME 531390 147082 147082 PARTNERSHIP MGMT FEE 531390 25919 25919 322307 322307 322307 0 0 283482 283482 1750 1750 6901 6901 LOSS FROM PARTNERSHIP 91369 91369 PARTNERSHIP MGMT FEE 25919 25919 TAXES AND LICENSES 201 201 409622 407872 1750 0 83738 23332 471640 471640 471640 157698 150797 5163716 5215371 5876792 5861140 1746 1746 2886678 2958341 2888424 2960087 X 2988368 2901053 2988368 2901053 5876792 5861140 -87315 0 X 0 0 0 X 416229 306495 247783 266909 322307 1559723 416229 306495 247783 266909 322307 1559723 0 0 0 1559723 416229 306495 247783 266909 322307 1559723 1.00000 1.00000 0.00000 X 471640 471640 471640 PARTNERSHIP FEE RECEIVABLE 25919 LAND LEASE RECEIVABLE 5189452 5215371 INVESTMENT IN S.R. FOUNTAINS L.P. - DEFICIT BAL. 2929505 PARTNERSHIP FEE PAYABLE 28836 2958341 1 HOUSING AUTHORITY OF THE COUNTY OF SANTA CLARA 505 WEST JULIAN STREET SAN JOSE CA 95110 941667160 501(C)(3) 83152 0 GRANT TO SUPPORT AFFORDABLE HOUSING ACTIVITIES BRIDGE HOUSING ACQUISITIONS INC 600 CALIFORNIA STREET SUITE 900 SAN FRANCISCO CA 94108 943175634 501(C)(3) 83152 0 GRANT TO SUPPORT AFFORDABLE HOUSING ACTIVITIES MIDPEN HOUSING CORPORATION 303 VINTAGE PARK DRIVE SUITE 250 FOSTER CITY CA 94404 237089977 501(C)(3) 117178 0 GRANT TO SUPPORT AFFORDABLE HOUSING ACTIVITIES 3 0 PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS AS PART OF ITS MONTHLY, QUARTERLY, AND ANNUAL FINANCIAL STATEMENT REVIEW PROCESS. IN ADDITION, RESTRICTIONS OF GRANTS ARE REVIEWED IN DETAIL AS PART OF THE ANNUAL EXTERNAL AUDIT PROCESS. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES PROPERTY MANAGEMENT SERVICES TO MIDPEN PROPERTY MANAGEMENT CORPORATION, AN UNAFFILIATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE TAX MANAGER COMPLETES THE 990 QUESTIONNAIRE AND ACCUMULATES ALL SUPPORTING DOCUMENTATION. THE QUESTIONNAIRE IS SENT TO THE TAX PROFESSIONALS FOR THEIR PREPARATION OF THE TAX RETURNS. THE DRAFT 990 TAX RETURN GOES THROUGH THE REVIEW OF MIDPEN MANAGEMENT. UPON THE CHIEF FINANCIAL OFFICER'S APPROVAL, THE TAX RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE IS SUBMITTED ANNUALLY TO THE BOARD OF DIRECTORS AND KEY EMPLOYEES, WHO COMPLETE AND RETURN THE FORMS DISCLOSING ANY CONDITIONS OF POTENTIAL OR ACTUAL CONFLICT OF INTEREST. THE DISCLOSURES ARE REVIEWED BY THE CORPORATE COUNSEL AND THE CFO. A SUMMARY OF THE DISCLOSURES IS PRESENTED TO THE GOVERNANCE COMMITTEE, WHICH ASSESSES IF ANY CONFLICT OF INTEREST ACTUALLY EXISTS. ANY CONDITIONS WHICH WARRANT ELEVATION TO THE BOARD OF DIRECTORS IS ON A CASE-BY-CASE BASIS. AS OF THE REPORTING DATE, THERE HAS BEEN NO REPORTABLE CONDITION OF CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 DATA FROM AN EXTERNAL COMPENSATION SURVEY IS REVIEWED AND DISCUSSED WITH THE BOD. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE UPON REQUEST. SR FOUNTAINS LIMITED PARTNERSHIP 303 VINTAGE PARK DRIVE SUITE 250 FOSTER CITY CA 94404 830364083 TO PROVIDE AFFORDABLE HOUSING FOR LOW INCOME INDIVIDUALS AND FAMILIES CA SR SENIOR HOUSING INC RELATED 1140 5378351 0 1 0.01000 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0