2024-11-14T12:52:16-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2023-01-01 311749430 ALEXANDRIA SENIOR HOUSING INC ALEX 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 WINONA SHORES SHELLEY KENDRICK 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 243603 0 X WWW.ECUMEN.ORG X 2002 MN TO PROVIDE LOW INCOME HOUSING FOR THE ELDERLY AND DISABLED THROUGH A HUD-SPONSORED PROGRAM. 4 0 0 0 0 0 0 0 212981 236657 -2848 646 4772 6300 214905 243603 0 0 0 0 70738 74530 0 0 0 210893 220569 281631 295099 -66726 -51496 1199640 1141544 2108090 2101490 -908450 -959946 ALEXANDRIA SENIOR HOUSING, INC., DBA: WINONA SHORES, PROVIDES LOW-INCOME HOUSING FOR THE ELDERLY AND DISABLED THROUGH A HUD-SPONSORED PROGRAM. 0 0 206508 0 236657 ALEXANDRIA SENIOR HOUSING, INC. DBA: WINONA SHORES, PROVIDES LOW INCOME HOUSING FOR THE ELDERLY AND DISABLED THROUGH A 27-UNIT HUD-SPONSORED PROGRAM. IN 2023, ALEXANDRIA SENIOR HOUSING, INC. HAD AN OCCUPANCY RATE OF 99.7%. 206508 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 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 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 228691 228691 TENANT CHARGES 623000 7966 7966 236657 646 646 LAUNDRY REVENUE 900099 3633 3633 MISCELLANEOUS REVENUE 900099 2667 2667 6300 243603 236657 0 6946 58285 30336 27949 10099 5776 4323 1945 1112 833 4201 2403 1798 31906 31906 9429 9429 534 481 53 462 462 5384 4846 538 3484 3136 348 81441 73297 8144 881 839 42 963 306 657 1081 1081 66763 66763 8061 8061 CABLE TV 7531 7531 MINOR EQUIPMENT 1640 1640 RESIDENT CARE SUPPLY 510 510 LICENSES & PERMITS 295 30 265 204 204 295099 206508 88591 0 816 365 67693 81029 17517 1285 481 1203 2257161 1220749 1091946 1036412 21187 21250 1199640 1141544 15628 8852 81 8182 8747 2058800 2058800 25399 25091 2108090 2101490 X -908450 -959946 -908450 -959946 1199640 1141544 -51496 0 X 0 1 X 1 0 X 750 1231 1981 200738 204301 214494 212981 236657 1069171 200738 204301 215244 214212 236657 1071152 0 65738 69506 80334 80786 104774 401138 65738 69506 80334 80786 104774 401138 670014 50 13 10 185 646 904 50 13 10 185 646 904 4330 3951 3942 4772 6300 23295 205118 208265 219196 219169 243603 1095351 0.61170 0.64390 0.00080 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: LAUNDRY REVENUE - 2019 AMOUNT: $ 4,230. 2020 AMOUNT: $ 3,951. 2021 AMOUNT: $ 3,942. 2022 AMOUNT: $ 3,541. 2023 AMOUNT: $ 3,633. MISCELLANEOUS INCOME - 2019 AMOUNT: $ 100. 2022 AMOUNT: $ 1,231. 2023 AMOUNT: $ 2,667. 0 1 X 11900 11900 2197317 1176338 1020979 44804 44411 393 3140 3140 1036412 DUE TO RELATED PARTY 8544 FINANCING LEASE PAYABLE 13347 SPECIAL ASSESSMENT PAYABLE 3200 25091 X 243603 0 243603 0 243603 295099 0 295099 0 295099 PART IV, LINE 2B: ALEXANDRIA SENIOR HOUSING, INC. 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 ALEXANDRIA SENIOR HOUSING, INC.'S 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 ALEXANDRIA SENIOR HOUSING, INC.'S PARENT ORGANIZATION, ECUMEN, MANAGES THE RENTAL PROPERTY OF ALEXANDRIA SENIOR HOUSING, INC. AND PERFORMS VARIOUS OTHER FUNCTIONS ON ALEXANDRIA SENIOR HOUSING'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 ALEXANDRIA SENIOR HOUSING, INC.'S BOARD OF DIRECTORS FOR REVIEW, THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALEXANDRIA SENIOR HOUSING, INC. UTILIZES ITS PARENT COMPANY, ECUMEN'S, CONFLICT OF INTEREST POLICY, AS IT DOES NOT HAVE A WRITTEN CONFLICT OF INTEREST POLICY OF ITS OWN. ECUMEN'S CONFLICT OF INTEREST POLICY 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 DICLOSURES 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 UPON 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 ORGANIZAITON. 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 IT 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 411768508 SENIOR & LOW-INCOME HOUSING MN 501(C)(3) LINE 10 N/A 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 WHITE BEAR LAKE SENIOR HOUSING INC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 411824727 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 AVENUE NORTH SHOREVIEW MN 55126 411843778 INSURANCE MN N/A C 0 ONETWOONE DEVELOPMENT LLC 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 473992783 DEVELOPMENT MN N/A C 0 ZVAGO COOPERATIVE AT CENTRAL VILLAGE 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 812899630 DEVELOPMENT MN N/A C 0 ZVAGO COOPERATIVE AT LAKE SUPERIOR 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 830622475 DEVELOPMENT MN N/A C 0 ZVAGO COOPERATIVE AT STILLWATER 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 831063342 DEVELOPMENT MN N/A C 0 ZVAGO COOPERATIVE AT LONG LAKE 3530 LEXINGTON AVENUE NORTH SHOREVIEW MN 55126 845096775 DEVELOPMENT MN N/A C 0 ECUMEN DBA THE ECUMEN STORE 3530 LEXINGTON AVENUE 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