2024-11-14T12:48:08-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2023-01-01 411824727 WHITE BEAR LAKE SENIOR HOUSING INC WHIT 6517664300 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 SHELLEY KENDRICK PRESIDENT & CEO 6517664300 2024-11-13 1 0 JUSTIN HARTERT P02236744 5074467100 2024-11-07 2023 2024-10-15 13:58:12Z WILLOW WOOD APARTMENTS SHELLEY KENDRICK 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 341727 0 X WWW.ECUMEN.ORG X 1995 MN TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY THROUGH A HUD-SPONSORED APARTMENT COMPLEX. 4 0 0 0 0 0 3635 0 324849 336537 702 153 4324 5037 333510 341727 2705 0 0 0 79704 78093 0 0 0 338551 351188 420960 429281 -87450 -87554 1272553 1178249 3232288 3225538 -1959735 -2047289 WHITE BEAR LAKE SENIOR HOUSING, INC., DBA WILLOW WOOD APARTMENTS, PROVIDES LOW INCOME HOUSING FOR THE ELDERLY THROUGH A HUD-SPONSORED 46-UNIT APARTMENT COMPLEX IN WHITE BEAR LAKE, MINNESOTA. 0 0 296148 0 336537 WHITE BEAR LAKE SENIOR HOUSING, INC., DBA WILLOW WOOD APARTMENTS, PROVIDES LOW INCOME HOUSING FOR THE ELDERLY THROUGH A HUD SPONSORED 46-UNIT APARTMENT COMPLEX IN WHITE BEAR LAKE, MINNESOTA. IN 2023, WHITE BEAR LAKE SENIOR HOUSING, INC. HAD AN OCCUPANCY RATE OF 99%. 296148 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 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 1 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X SHELLEY KENDRICK 6517664300 3530 LEXINGTON AVE NORTH SHOREVIEW MN 55126 SHELLEY KENDRICK PRESIDENT & CEO 0.10 39.90 X X 0 490367 49805 SCOTT BJERKETVEDT SECRETARY AND TREASURER 0.10 39.90 X X 0 293673 48936 BRET ANDERSON BOARD OF TRUSTEE 0.10 39.90 X 0 293045 26862 MELLANIE SULLIVAN BOARD OF TRUSTEE 0.10 39.90 X 0 323390 16321 EMILY SOMMER ASSISTANT SECRETARY 0.10 39.90 X X 0 66743 22171 0 1467218 164095 0 0 1 0 0 RENT REVENUE 623000 336471 336471 TENANT CHARGES 623000 66 66 336537 153 153 LAUNDRY REVENUE 900099 4186 4186 MISCELLANEOUS REVENUE 900099 851 851 5037 341727 336537 0 5190 71147 23349 47798 1667 750 917 5279 2376 2903 49838 49838 12566 1803 10763 212 212 9392 8453 939 3374 3038 336 178999 161099 17900 181 181 86228 86228 8641 8641 MINOR EQUIPMENT 1581 1581 LICENSES & PERMITS 176 18 158 429281 296148 133133 0 26939 5859 92703 103207 2193 812 1368 3339 3355718 2309823 1129864 1045895 19486 19137 1272553 1178249 23318 23321 993 0 18421 19400 3154000 3154000 35556 28817 3232288 3225538 X -1959735 -2047289 -1959735 -2047289 1272553 1178249 -87554 0 X 0 1 X 1 0 X 3635 0 3635 276359 300457 319470 324849 336537 1557672 276359 300457 319470 328484 336537 1561307 0 51503 74627 93809 98802 105472 424213 51503 74627 93809 98802 105472 424213 1137094 835 739 459 702 153 2888 835 739 459 702 153 2888 5689 2886 3582 4324 5037 21518 282883 304082 323511 333510 341727 1585713 0.71710 0.74410 0.00180 0.00220 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: LAUNDRY REVENUE - 2019 AMOUNT: $ 5,689. 2020 AMOUNT: $ 2,886. 2021 AMOUNT: $ 3,582. 2022 AMOUNT: $ 4,324. 2023 AMOUNT: $ 4,186. MISCELLAENOUS REVENUE - 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 851. 0 1 X 87120 87120 2827577 1884723 942854 183335 179984 3351 257686 245116 12570 1045895 SPECIAL ASSESSMENT PAYABLE 9207 DUE TO AFFILIATES 19610 28817 X 341727 0 341727 0 341727 429281 0 429281 0 429281 PART IV, LINE 2B: WILLOW WOOD APARTMENTS HOLDS IN TRUST SECURITY DEPOSIT AMOUNTS RECEIVED BY TENANTS OF THE PROJECT UPON MOVE-IN. TENANT SECURITY DEPOSITS ARE MAINTAINED IN AN INTEREST-BEARING SAVINGS ACCOUNT SEPARATE FROM WILLOW WOOD APARTMENTS' OPERATING ACCOUNT. WITHDRAWALS ARE RESTRICTED TO REIMUBURSEMENTS OF TENANTS' SECURITY DEPOSITS. PART X, LINE 2: THE INTERNAL REVENUE SERVICE (IRS) HAS DETERMINED THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES; ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATION RETURNS AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. 0 0 0 0 0 0 0 0 0 SHELLEY KENDRICK PRESIDENT & CEO 0 487965 0 0 0 2402 0 15000 0 34805 0 540172 0 0 SCOTT BJERKETVEDT SECRETARY AND TREASURER 0 293071 0 0 0 602 0 15077 0 33859 0 342609 0 0 MELLANIE SULLIVAN BOARD OF TRUSTEE 0 321133 0 0 0 2257 0 15351 0 970 0 339711 0 0 BRET ANDERSON BOARD OF TRUSTEE 0 292725 0 0 0 320 0 13621 0 13241 0 319907 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT & CEO IS DETERMINED BY ECUMEN, THE SOLE MEMBER. THE FOLLOWING WERE USED BY ECUMEN TO DETERMINE THE PRESIDENT & CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEY OR STUDY 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 3 WHITE BEAR LAKE SENIOR HOUSING, INC.'S PARENT ORGANIZATION, ECUMEN, MANAGES THE RENTAL PROPERTY OF WHITE BEAR LAKE SENIOR HOUSING, INC.'S AND PERFORMS VARIOUS OTHER FUNCTIONS ON WHITE BEAR LAKE SENIOR HOUSING, INC.'S BEHALF. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS ECUMEN (EIN: 41-0711588), A MINNESOTA 501(C)(3) NONPROFIT ORGANIZATION AFFILIATED WITH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER OF THE BOARD OF DIRECTORS IS ELECTED BY THE BOARD OF TRUSTEES OF ECUMEN, THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B ECUMEN, THE SOLE MEMBER, MUST APPROVE ANY OF THE FOLLOWING: (A) ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THIS CORPORATION; (B) ALL CAPITAL BUDGETS OF THIS CORPORATION AND ALL CORPORATIONS, PARTNERSHIPS, AND OTHER LEGAL ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THE CORPORATION, AND ALL MAJOR CAPITAL EXPENDITURES BEFORE FUNDS ARE EXPENDED THEREFORE (FOR THESE PURPOSES A MAJOR CAPITAL EXPENDITURE SHALL BE DEFINED BY THE SOLE MEMBER'S BYLAWS THEN IN EFFECT); (C) ALL OPERATING BUDGETS OF THIS CORPORATION AND ALL CORPORATIONS, PARTNERSHIPS, AND OTHER LEGAL ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS CORPORATION, BEFORE AUTHORIZED EXPENDITURES MAY BE MADE THEREFROM; (D) STRATEGIC PLANS OF THIS CORPORATION AND ALL CORPORATIONS, PARTNERSHIPS, AND OTHER LEGAL ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS CORPORATION; (E) THE INCURRING OF ANY LONG TERM DEBT OF THIS CORPORATION AND ALL CORPORATIONS, PARTNERSHIPS, AND OTHER LEGAL ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS CORPORATION, OTHER THAN INTRA-SYSTEM OR REFINANCING DEBT; (F) ALL HUMAN RESOURCES AND BENEFITS POLICIES OF THIS CORPORATION; (G) ANY MAJOR RISK CONTRACTING AGREEMENTS, WHICH FOR THESE PURPOSES MEANS ANY CONTRACT WHICH DEALS WITH CAPITATION OR SIMILAR RISK BEARING CONCEPT; (H) ANY MERGER, CONSOLIDATION, OR TOTAL OR PARTIAL DISSOLUTION INVOLVING THIS CORPORATION; (I) THE NUMBER OF DIRECTORS OF THIS CORPORATION; AND (J) ANY GOVERNANCE AND ACTION OF THE TYPE SET FORTH IN SUBPARAGRAPH (A) AND SUBPARAGRAPHS (F) THROUGH (I) ABOVE AS PROPOSED BY THE BOARD OF DIRECTORS OF ANY CORPORATION, PARTNERSHIP OR OTHER LEGAL ENTITIES DIRECTLY CONTROLLED BY THIS CORPORATION AS A MEMBER, SHAREHOLDER OR OTHERWISE, TO THE EXTENT THAT THE GOVERNING DOCUMENTS OF SUCH CORPORATION, PARTNERSHIP OR OTHER LEGAL ENTITIES GIVE THIS CORPORATION OR THE BOARD A RIGHT OF APPROVAL OVER SUCH GOVERNANCE ACTION. WITH RESPECT TO THE FOREGOING, THE BOARD SHALL CONSULT WITH AND COOPERATE WITH ECUMEN. FINAL DECISIONS WITH RESPECT TO THE ABOVE LISTED MATTERS SHALL BE SUBJECT TO THE APPROVAL OF ECUMEN AND ITS PERSONNEL WITH THE AUTHORITY TO ACT FOR AND ON BEHALF OF ECUMEN IN CONNECTION WITH SUCH MATTERS. AS PART OF ITS FINAL APPROVAL PROCESS, ECUMEN MAY MODIFY THE CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS OF THIS CORPORATION AS REFERRED TO IN SUBPARAGRAPHS (B) THROUGH (D) ABOVE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CEO OF ECUMEN, THE SOLE MEMBER, THEN PRESENTED TO WHITE BEAR LAKE SENIOR HOUSING, INC.'S BOARD OF DIRECTORS FOR REVIEW, THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C WHITE BEAR LAKE SENIOR HOUSING, INC. UTILIZES IT'S PARENT COMPANY, ECUMEN'S CONFLICT OF INTEREST POLICY AND IT APPLIES TO ALL TRUSTEES, OFFICERS, MANAGERS AND EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF ECUMEN, INCLUDING THOSE WHO MAKE PURCHASING DECISIONS OR WHO HAVE PROPRIETARY INFORMATION CONCERNING ECUMEN. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO APPLICABLE PARTIES ANNUALLY AND A SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT IS OBTAINED. THE POLICY STATES THAT IT IS THE RESPONSIBILITY OF THE APPLICABLE PARTY TO DISCLOSE A POTENTIALLY CONFLICTING TRANSACTION BEFORE IT IS CONSUMMATED AND TO CONTINUE TO SCRUTINIZE THEIR TRANSACTIONS AND DISCLOSE POTENTIAL CONFLICTS IMMEDIATELY. THE SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE MONITORED BY AN H.R. GENERALIST IN THE HOME OFFICE AND BY THE VICE PRESIDENT OF HUMAN RESOURCES. THE VICE PRESIDENT OF HUMAN RESOURCES NOTIFIES THE CEO FOR DISCLOSURES INVOLVING EMPLOYEES, UNLESS THE EMPLOYEE IS THE CEO IN WHICH CASE THE BOARD CHAIR IS NOTIFIED. THE BOARD CHAIR NOTIFIES THE BOARD OR THE APPLICABLE COMMITTEE OF THE BOARD. DISCLOSURES INVOLVING TRUSTEES ARE MADE TO THE BOARD CHAIR, UNLESS THE BOARD CHAIR HAS A CONFLICT IN WHICH CASE THE VICE-CHAIR IS NOTIFIED. THE CONTROLS ARE SPECIFIC TO THE POTENTIAL AREA OF CONFLICT. FOR INSTANCE, IF AN EMPLOYEE PROVIDES DAILY WORK DIRECTION TO A FAMILY MEMBER, ALL SALARY-RELATED DECISIONS FOR THAT FAMILY MEMBER WOULD BE ASSIGNED TO ANOTHER (NON-RELATED) PERSON. DURING BOARD DISCUSSIONS, THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL FOR THE CONFLICTING TRANSACTION. OTHER SPECIFIC RESTRICTIONS MAY BE IMPOSED, DEPENDING ON THE CONFLICT. A COMPETITIVE BID OR COMPARABLE VALUATION MUST EXIST. THE BOARD, OR DULY CONSTITUTED COMMITTEE, HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 ALL COMPENSATION IS DETERMINED BY ECUMEN, THE SOLE MEMBER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND ECUMEN'S CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. ECUMEN 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 410711588 SENIOR & LOW-INCOME HOUSING MN 501(C)(3) LINE 10 N/A 0 ALEXANDRIA SENIOR HOUSING INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 311749430 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 AUGUSTANA LUTHERAN HOMES INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 410734237 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 BETHEL MANOR INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411773022 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 BETHEL MANOR II INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411347125 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 HUBBARD COUNTY SENIOR HOUSING INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411932209 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 LAMPLIGHTER MANOR INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411772945 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 NEW RICHMOND SENIOR HOUSING INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411974837 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 ROBBINSDALE SENIOR HOUSING INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411667830 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 PARMLY LAKEVIEW INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 263789732 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 ST FRANCIS OF ASSISI INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411427983 LOW-INCOME HOUSING MN 501(C)(3) LINE 10 ECUMEN 0 ECUMEN SERVICES INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411768508 MANAGEMENT SERVICES MN N/A C 0 BRIDGE REHABILITATION SERVICES INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411893649 INACTIVE MN N/A C 0 DIVERSIFIED BUSINESS INSURANCE 3530 LEXINGTON AVE NORTH SHOREVIEW MN 55126 411843778 INSURANCE MN N/A C 0 ONETWOONE DEVELOPMENT LLC 3530 LEXINGTON AVE NORTH SHOREVIEW MN 55126 473992783 DEVELOPMENT MN N/A C 0 ZVAGO COOPERATIVE AT CENTRAL VILLAGE 3530 LEXINGTON AVE NORTH SHOREVIEW MN 55126 812899630 DEVELOPMENT MN N/A C 0 ZVAGO COOPERATIVE AT LAKE SUPERIOR 3530 LEXINGTON AVE NORTH SHOREVIEW MN 55126 830622475 DEVELOPMENT MN N/A C 0 ZVAGO COOPERATIVE AT STILLWATER 3530 LEXINGTON AVE NORTH SHOREVIEW MN 55126 831063342 DEVELOPMENT MN N/A C 0 ZVAGO COOPERATIVE AT LONG LAKE 3530 LEXINGTON AVE NORTH SHOREVIEW MN 55126 845096775 DEVELOPMENT MN N/A C 0 ECUMEN DBA THE ECUMEN STORE 3530 LEXINGTON AVE NORTH SHOREVIEW MN 55126 410711588 SENIOR CARE SUPPLIES SERVICES MN N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0