2024-05-03T12:40:31-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2022-07-01 750123537 CARILLON FOUNDATION CARI 8062816137 4002 16TH ST LUBBOCK TX 79416 MARSHA SHARP CHAIRWOMAN 8062816000 2024-04-16 1 MARSHA SHARP 999009999 0 JEFF PARKER P00970069 9723835700 2024-04-16 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X LAURA BETH PLEASANT 4002 16TH ST LUBBOCK TX 79416 427815 0 X HTTPS://WWW.CARILLONLUBBOCK.COM/GIVE/ X 1985 TX TO ASSIST IN THE GENERAL SUPPORT AND CONTINUATION OF THE RETIREMENT COMMUNITY KNOWN AS CARILLON, INC. OF LUBBOCK. SEE PROGRAM SERVICE ACCOMPLISHMENTS ON PAGE 2 / SCHEDULE O FOR MORE INFORMATION. 8 8 0 8 0 0 274445 358893 0 0 -3664 54122 0 0 270781 413015 546799 373848 0 0 0 0 0 0 0 12756 10326 559555 384174 -288774 28841 1926525 1937800 0 0 1926525 1937800 X TO ASSIST IN THE GENERAL SUPPORT AND CONTINUATION OF THE RETIREMENT COMMUNITY KNOWN AS CARILLON, INC. OF LUBBOCK. 0 0 373848 373848 0 - RECEIVE DONATIONS, GIFTS AND GRANTS OF MONEY OR OTHER PROPERTY AND ADMINISTER AND EXPEND SUCH ASSETS UPON A CHARITABLE, EDUCATIONAL OR NON-PROFIT BASIS ON BEHALF OF CARILLON, INC.- PROVIDE FOR THE ESTABLISHMENT OF VARIOUS GENERAL AND SPECIAL FUNDS TO WHICH INTERESTED PERSONS MAY CONTRIBUTE FUNDS AND ASSETS FOR THE SUPPORT, MAINTENANCE AND CARE OF THE FACILITIES AND RESIDENTS OF CARILLON, INC.- PROVIDE ALTERNATIVE ENDOWMENT FUNDING ARRANGEMENTS FOR PROSPECTIVE RESIDENTS, PROVIDED THAT SUCH ARRANGEMENTS ARE FISCALLY RESPONSIBLE TO THE NEEDS OF THE FOUNDATION AND OF CARILLON, INC.- ASSIST CARILLON, INC. OF LUBBOCK IN PROVIDING AND CONTINUING TO PROVIDE HIGH-QUALITY MEDICAL CENTER CARE FOR ITS RESIDENTS AND OTHERS.- SUPPORT RESEARCH FOR THE BENEFIT OF THE PUBLIC DIRECTED TOWARD A BETTER UNDERSTANDING OF GERONTOLOGICAL DISEASES AND THE PROCESS OF AGING IN GENERAL.- PROVIDE SUPPORT FOR THE RECRUITMENT, RETENTION AND TRAINING OF QUALIFIED EMPLOYEES OF CARILLON, INC.- PROVIDE ASSISTANCE TO CARILLON, INC. FOR THE SUPPORT OF RESIDENTS WHO ARE IN FINANCIAL DIFFICULTY. 373848 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 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 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X JESSICA BROWN 8062816198 4002 16TH ST LUBBOCK TX 79416 X MARSHA SHARP MEMBER 2.00 0.00 X 0 0 0 LAURA BETH PLEASANT CHAIRWOMAN 2.00 0.00 X X 0 0 0 DR FRED WAGNER CHAIRMAN EMERITUS 1.00 0.00 X X 0 0 0 ELIZABETH HALEY MEMBER 2.00 2.00 X 0 0 0 STEPHEN BROWNING TREASURER 2.00 0.00 X X 0 0 0 PAT RUSSELL MEMBER 1.00 0.00 X 0 0 0 DIANE POWELL MEMBER 2.00 2.00 X 0 0 0 KISHOR MEHTA VICE CHAIR 1.00 0.00 X X 0 0 0 SHANNON SMITH FOUNDATION DIRECTOR 40.00 0.00 X 0 65634 0 PAMELA RODDY EXECUTIVE DIRECTOR 1.00 39.00 X 0 0 0 0 65634 0 0 0 0 0 0 358893 358893 60540 60540 8382 14800 -6418 -6418 -6418 413015 0 0 54122 288895 288895 84953 84953 6721 6721 OTHER OPERATING EXPENSE 3605 3605 384174 373848 10326 0 463353 648547 150000 1290729 1267596 22443 21657 1926525 1937800 0 0 X 1926525 1937800 1926525 1937800 1926525 1937800 28841 -17566 0 X X 0 1 X 1 0 X 293706 339797 929636 274445 358893 2196477 293706 339797 929636 274445 358893 2196477 624383 1572094 33437 52270 36294 62359 60540 244900 2441377 0.64390 0.65830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1130333 950 29960 10000 1151243 1152306 50575 -71594 954 1130333 969455 300 196550 13998 1152307 975593 500 3678 10316 969455 928212 1750 45631 975593 0.00000 1.00000 0.00000 0 0 0 X 472603 -17566 83875 66309 406294 6721 6721 413015 461328 83875 83875 377453 6721 6721 384174 PART V, LINE 4: TO SUPPORT CARILLON LIFECARE COMMUNITY RESIDENTS PART X, LINE 2: THE FOUNDATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. 1 CARILLON INC 1717 NORFOLK LUBBOCK TX 79416 742070670 501(C)(3) 251724 37171 FMV MISCELLANEOUS ITEMS TO SUPPORT CARILLON LIFECARE COMMUNITY RESIDENTS 1 SCHOLARSHIPS 25 84953 PART I, LINE 2: THE FOUNDATION PROVIDES GRANT SUPPORT TO THE RELATED CCRC CAMPUS OF CARILLON INC. THE AMOUNT OF GRANT SUPPORT PROVIDED IS DISCUSSED AND APPROVED BY THE FOUNDATION BOARD OF DIRECTORS. THESE GRANTS ARE GENERALLY UNCONDITIONAL AND RECOGNIZED AS EXPENSES IN THE PERIOD MADE OR APPROVED. THE FOUNDATION ALSO PROVIDES GRANT SUPPORT FOR INDIVIDUALS FOR EDUCATION SCHOLARSHIPS BASED ON THE INDIVIDUAL'S NEED AND APPLICATION. PART I, LINE 2: THE FOUNDATION PROVIDES GRANT SUPPORT TO THE RELATED CCRC CAMPUS OF CARILLON INC. THE AMOUNT OF GRANT SUPPORT PROVIDED IS DISCUSSED AND APPROVED BY THE FOUNDATION BOARD OF DIRECTORS. THESE GRANTS ARE GENERALLY UNCONDITIONAL AND RECOGNIZED AS EXPENSES IN THE PERIOD MADE OR APPROVED. THE FOUNDATION ALSO PROVIDES GRANT SUPPORT FOR INDIVIDUALS FOR EDUCATION SCHOLARSHIPS BASED ON THE INDIVIDUAL'S NEED AND APPLICATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS, AND A COPY OF THE FORM IS PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, A DISCLOSURE AND CONFLICT OF INTEREST DOCUMENT IS SIGNED BY THE MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR (PAMELA RODDY) OF CARILLON, INC. IS AN EMPLOYEE OF LIFE CARE SERVICES MANAGEMENT CO. AS PART OF THE MANAGEMENT CONTRACT, SHE IS COMPENSATED THROUGH LIFE CARE SERVICES. COMPENSATION IS DETERMINED ANNUALLY AND APPROVED BY GOVERNANCE. THE CURRENT FOUNDATION DIRECTOR, SHANNON SMITH IS COMPENSATED BY CARILLON, INC., AND THE SALARY IS CONSIDERED AN IN-KIND CONTRIBUTION FROM CARILLON, INC. TO THE FOUNDATION. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE THROUGH THE FOUNDATION OFFICE OR THE CARILLON, INC. ADMINISTRATION OFFICE. FORM 990, PART VII, SECTION A: CARILLON HAS A MANAGEMENT AGREEMENT WITH LCS. PURSUANT TO THE AGREEMENT, LCS PROVIDES CARILLON'S EXECUTIVE DIRECTOR AND CERTAIN MANAGEMENT FINANCIAL SERVICES. DURING FISCAL YEAR 2023 AND 2022, TOTAL FEES PAID TO LCS WERE APPROXIMATELY $492,000 AND $462,000. PAM RODDY WAS ALSO AN EMPLOYEE OF LCS, AND SERVED AS THE ADMINISTRATOR AND EXECUTIVE DIRECTOR FOR CARILLON HOUSE. LCS PAID COMPENSATION TO PAM RODDY IN THE AMOUNT OF $171,818 FOR CALENDAR YEAR 2022. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT DURING THE TAX YEAR. CARILLON INC 1717 NORFOLK LUBBOCK TX 79416 742070670 LIFE CARE SERVICES TX 501(C)(3) LINE 10 N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 0