2024-10-25T10:38:05-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2023-01-01 411913422 LYNGBLOMSTEN SENIOR HOUSING INC LYNG 6516462941 1415 ALMOND AVE SAINT PAUL MN 55108 TODD FLIFLET CFO 6516462941 2024-10-24 1 0 JUSTIN HARTERT P02236744 5074467100 2024-10-24 2023 2024-10-15 13:58:12Z JEFF HEINECKE 1415 ALMOND AVE SAINT PAUL MN 55108 0 0 9386 X WWW.LYNGBLOMSTEN.ORG X 1998 MN INFLUENCED BY CHRIST, LYNGBLOMSTEN PROVIDES A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS IN ORDER TO PRESERVE AND ENHANCE THEIR QUALITY OF LIFE. 13 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -2005994 -1837176 0 0 -2005994 -1837176 TO PROVIDE A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS. 0 0 0 0 0 TO PROVIDE A MINISTRY OF COMPASSIONATE CARE AND INNOVATIVE SERVICES TO OLDER ADULTS. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X TODD FLIFLET 6516325311 1415 ALMOND AVENUE ST PAUL MN 55108 JEFF HEINECKE PRESIDENT & CEO 0.50 39.50 X X 0 293425 45659 DEBRA GEORGE CHAIR 0.50 5.50 X X 0 0 0 REV IVY HUSTON VICE CHAIR 0.50 5.50 X X 0 0 0 DIANA ROCKSTAD SECRETARY 0.50 5.50 X X 0 0 0 REV MARTIN ERICSON SECRETARY (THRU MAY 2023) 0.50 5.50 X X 0 0 0 DR MARK KNUDSON TREASURER 0.50 5.50 X X 0 0 0 JOAN BRANDT DIRECTOR 0.50 3.50 X 0 0 0 JUSTIN BRYANT DIRECTOR 0.50 3.50 X 0 0 0 MARY HAUCK DIRECTOR 0.50 3.50 X 0 0 0 KIM DONAT DIRECTOR 0.50 3.50 X 0 0 0 AMY KORZENOWSKI DIRECTOR 0.50 3.50 X 0 0 0 DR MICHAEL LOVETT DIRECTOR 0.50 3.50 X 0 0 0 PAULETTE OLESON DIRECTOR 0.50 3.50 X 0 0 0 PETER POLGA DIRECTOR 0.50 3.50 X 0 0 0 BRADLEY J JACOBSON MAY 2023 CFO 0.50 39.50 X 0 118534 22015 TODD FLIFLET CFO 0.50 39.50 X 0 166408 46268 0 578367 113942 0 0 1 0 0 0 0 0 0 0 0 0 0 -2005994 -1837176 -2005994 -1837176 0 0 X -2005994 -1837176 -2005994 -1837176 -2005994 -1837176 X 0 168818 X 0 1 X 1 0 X X 1 LYNGBLOMSTEN 410693865 10 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SECTION A, LINE 1 LYNGBOMSTEN IS NOT NAMED IN THE GOVERNING DOCUMENTS OF LYNGBLOMSTEN SENIOR HOUSING INC. HOWEVER, LYNGBLOMSTEN SENIOR HOUSING INC'S MISSION, FROM ITS ARTICLES OF INCORPORATION, IS TO BE OF SERVICE TO THE ELDERLY, CHRISTIAN HOMES FOR ELDERLY MEN AND WOMEN AND TO PROVIDE FOR THE MAINTENANCE, CARE, SUPPORT, COMFORT, RELIEF, AND WELL-BEING OF ELDERLY MEN AND WOMEN AND TO PERFORM SUCH OTHER SERVICES RELATED THERETO AS MAY BE APPROPRIATE. THE MISSION OF LYNGBLOMSTEN AND LYNGLOMSTEN SENIOR HOUSING INC ARE THE SAME. PART I, LINE 12G, COLUMN IV: LYNGBOMSTEN IS NOT NAMED IN THE GOVERNING DOCUMENTS OF LYNGBLOMSTEN SENIOR HOUSING INC. HOWEVER, LYNGBLOMSTEN SENIOR HOUSING INC'S MISSION, FROM ITS ARTICLES OF INCORPORATION, IS TO BE OF SERVICE TO THE ELDERLY, CHRISTIAN HOMES FOR ELDERLY MEN AND WOMEN AND TO PROVIDE FOR THE MAINTENANCE, CARE, SUPPORT, COMFORT, RELIEF, AND WELL-BEING OF ELDERLY MEN AND WOMEN AND TO PERFORM SUCH OTHER SERVICES RELATED THERETO AS MAY BE APPROPRIATE. THE MISSION OF LYNGBLOMSTEN AND LYNGLOMSTEN SENIOR HOUSING INC ARE THE SAME. 0 X PART X, LINE 2: THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 JEFF HEINECKE PRESIDENT & CEO 0 274307 0 7901 0 11217 0 11978 0 33681 0 339084 0 0 TODD FLIFLET CFO 0 155931 0 6014 0 4463 0 6966 0 39302 0 212676 0 0 PART I, LINE 3 LYNGBLOMSTEN CARE CENTER, INC. PAYS THE COMPENSATION FOR THE OFFICERS AND EMPLOYEES OF THE ORGANIZATION. LYNGBLOMSTEN CARE CENTER, INC. USES THE FOLLOWING WHEN DETERMINING COMPENSATION FOR OFFICERS AND EMPLOYEES: (1) COMPENSATION COMMITTEE, (2) INDEPENDENT COMPENSATION CONSULTANT, (3) COMPENSATION SURVEY OR STUDY, AND (4) APPROVAL BY BOARD OF DIRECTORS OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS MADE UP OF THE CHAIR, VICE CHAIR, TREASURER, AND SECRETARY OF THE BOARD ALONG WITH PRESIDENT/CEO OF THE CORPORATION. ALL ITEMS APPROVED BY THE EXECUTIVE COMMITTEE ARE REAFFIRMED BY THE FULL BOARD AT THEIR NEXT MEETING. FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF DIRECTORS OF LYNGBLOMSTEN ARE THE MEMBERS OF LYNGBLOMSTEN SENIOR HOUSING INC FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE CONGREGATIONS SEND DELEGATES TO THE LYNGBLOMSTEN ANNUAL MEETING, WHO, AS MEMBERS OF LYNGBLOMSTEN, ELECT THE LYNGBLOMSTEN BOARD. THE BOARD OF DIRECTORS OF LYNGBLOMSTEN SENIOR HOUSING CONSISTS SOLELY OF DULY ELECTED AND QUALIFIED MEMBERS OF THE BOARD OF DIRECTORS OF LYNGBLOMSTEN. ELECTION AS A DIRECTOR OF LYNGBLOMSTEN CONSTITUTES ELECTION AS A DIRECTOR OF LYNGBLOMSTEN SENIOR HOUSING INC FOR THE SAME TERM. FORM 990, PART VI, SECTION A, LINE 7B CHANGES IN THE BYLAWS AND ARTICLES OF INCORPORATION REQUIRE MEMBERSHIP APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B THE CEO, CFO, AND CONTROLLER REVIEW THE DOCUMENT, WHICH IS EMAILED TO THE FINANCE COMMITTEE OF THE BOARD PRIOR TO THEIR MEETING FOR REVIEW AND COMMENT. THE BOARD RECEIVES THE DOCUMENT PRIOR TO THEIR BOARD MEETING BY EMAIL. PAPER COPIES ARE AVAILABLE AT THE BOARD MEETING FOR FURTHER DISCUSSION AND BOARD APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C AN UPDATED CONFLICT OF INTEREST POLICY IS SIGNED BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. THIS POLICY IS MONITORED BY THE CORPORATE COMPLIANCE OFFICER AND IF ANY CONFLICTS OF INTERESTS EXIST THAT INDIVIDUAL IS EXCLUDED FROM PARTICIPATION AND VOTING ON RELATED TRANSACTIONS. UPON COMPLETION OF THE CONFLICT OF INTEREST STATEMENTS, THE RESULTS/CONFLICTS ARE REPORTED TO THE EXECUTIVE COMMITTEE OF THE BOARD AND RECORDED IN THEIR MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE LYNGBLOMSTEN BOARD'S EXECUTIVE COMMITTEE REVIEWS AND SETS THE CEO'S COMPENSATION ANNUALLY AND PERFORMS A COMPENSATION STUDY PERIODCIALLY, LAST COMPLETED FALL 2022. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENT IN AFFILIATES 168,818. LYNGBLOMSTEN APARTMENTS INC 1455 ALMOND AVE ST PAUL MN 55108 411327121 LOW INCOME SENIOR HOUSING MN 501(C)(3) LINE 10 LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC 1 HERITAGE APARTMENTS INC 1440 MIDWAY PARKWAY ST PAUL MN 55108 411913420 MARKET RATE SENIOR HOUSING, ASSISTED LIVING SERVIES MN 501(C)(3) LINE 10 LYNGBLOMSTEN LYNGBLOMSTEN SENIOR HOUSING INC 1 LYNGBLOMSTEN FOUNDATION 1415 ALMOND AVE ST PAUL MN 55108 363371887 FUNDRAISING FOR LYNGBLOMSTEN MN 501(C)(3) LINE 7 LYNGBLOMSTEN 0 LYNGBLOMSTEN SERVICES INC 1415 ALMOND AVE ST PAUL MN 55108 411760448 SENIOR CENTER, COMMUNITY SERVICES, HOME HEALTH MN 501(C)(3) LINE 10 LYNGBLOMSTEN 0 LYNGBLOMSTEN CARE CENTER INC 1415 ALMOND AVE ST PAUL MN 55108 411310487 NURSING CARE TO ELDERLY MN 501(C)(3) LINE 10 LYNGBLOMSTEN 0 LYNGBLOMSTEN 1415 ALMOND AVE ST PAUL MN 55108 410693865 MANAGEMENT OVERSIGHT SERVICES TO ALL LYNGBLOMSTEN ORGANIZATIONS MN 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0