2024-11-13T14:01:11-06:00 2023-12-31 363168081 SIKICH LLC 17335 GOLF PARKWAY SUITE 500 BROOKFIELD WI 53045 990 2023-01-01 366054357 DIXON OLD PEOPLE'S FUND INC DIXO 8152882251 620 NORTH OTTAWA DIXON IL 61021 CHARLES BECKMAN PRESIDENT 8152882251 2024-11-12 1 1 HEATHER BONIFAS CPA P01711657 2627549400 2024-11-12 2023 2024-10-15 13:58:12Z HERITAGE SQUARE CHARLES BECKMAN 620 NORTH OTTAWA DIXON IL 61021 7964669 0 X WWW.HERITAGESQUAREDIXON.COM X 1949 IL CARING FOR THE ELDERLY. 6 6 122 52 0 0 230335 246453 2552420 2930036 136177 466372 3091 66995 2922023 3709856 0 0 0 0 2808060 3269545 0 0 0 1181017 1239424 3989077 4508969 -1067054 -799113 10889923 10520368 223166 259874 10666757 10260494 IT SHALL BE THE MISSION OF HERITAGE SQUARE, A NON-PROFIT CORPORATION, TO PROVIDE QUALITY CARE IN A WARM AND LOVING ENVIRONMENT FOR OUR RESIDENTS. WE SHALL MAKE EVERY EFFORT TO RESPECT THE DIGNITY OF EACH RESIDENT AS A PRODUCTIVE AND INDEPENDENT INDIVIDUAL. 0 0 3931193 2930036 LONG TERM CARE FACILITY FOR THE ELDERLY. WE HAVE 76 BEDS AND SERVICED 16,944 DAYS IN 2023. THE SHORT TERM GOAL IS TO CONTINUE TO PROVIDE A CONTINUUM OF QUALITY CARE POSSIBLE TO RESIDENTS. OUR LONG TERM GOAL IS TO CONTINUE TO PROVIDE THE SAME QUALITY OF CARE AND ENVIRONMNENT FOR RESIDENTS. AN ENDOWMENT FUND HAS BEEN ESTABLISHED TO PROVIDE FOR CARE OF RESIDENTS WHO HAVE EXHAUSTED THEIR FINANCIAL MEANS AND WHO DO NOT QUALIFY FOR OTHER PUBLIC SUPPORT PROGRAMS IN THE SHELTERED CARE SECTION. 3931193 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 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 1 1 0 0 0 1 5 0 122 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 IL X NICOLE MILLER 8152882251 620 NORTH OTTAWA DIXON IL 61021 CHARLES BECKMAN PRESIDENT 1.00 0.10 X X 0 0 0 PATRICK JONES JR VICE PRESIDENT 1.00 0.10 X X 0 0 0 KENDA BAILEY SECRETARY/TREASURER 1.00 0.10 X X 0 0 0 DEBRA DIDIER TRUSTEE 1.00 0.10 X 0 0 0 THOMAS DENSMORE TRUSTEE 1.00 0.10 X 0 0 0 JUDGE DOUG LEE TRUSTEE 1.00 0.10 X 0 0 0 BONNIE O'CONNELL ADMINISTRATOR 40.00 X 132550 0 15600 132550 0 15600 1 0 0 0 0 246453 246453 RESIDENTIAL AND HEALTH 623000 2884221 2884221 IN-HOUSE SERVICE REVENUES 623000 45815 45815 2930036 120136 120136 4601049 4245349 9464 355700 -9464 346236 346236 MISCELLANEOUS REVENUE 900099 66995 66995 66995 3709856 2930036 0 533367 148150 148150 2673506 2495687 177819 239907 227246 12661 207982 185906 22076 27858 10976 16882 42119 2996 39123 19028 19028 218889 175853 43036 4778 3623 1155 114873 102167 12706 140108 105260 34848 FOOD 325226 325226 SERVICE CONTRACTS 71855 57776 14079 PROVIDER TAX 66560 66560 MEDICAL & PHYSICAL THER 61530 61530 146600 110387 36213 4508969 3931193 577776 0 115542 177430 42480 13295 92625 109415 78747 77828 69265 72584 4759375 4007047 853823 752328 2812531 1999557 118305 118305 6706605 7199626 10889923 10520368 223166 259874 223166 259874 X 3277271 2373162 7389486 7887332 10666757 10260494 10889923 10520368 X -799113 -100171 493021 X X 0 1 X 1 0 X 190495 176418 845500 230335 246453 1689201 3391804 3560152 2819004 2552420 2930036 15253416 3582299 3736570 3664504 2782755 3176489 16942617 475 450 200 250 1375 0 475 450 200 250 1375 16941242 128073 115507 106571 96804 120136 567091 128073 115507 106571 96804 120136 567091 2947 388 2614 3091 66995 76035 3713319 3852465 3773689 2882650 3363620 17585743 0.96340 0.93570 0.03220 0.06370 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2019 AMOUNT: $ 2,947. 2020 AMOUNT: $ 388. 2021 AMOUNT: $ 2,614. 2022 AMOUNT: $ 3,091. 2023 AMOUNT: $ 66,995. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1656086 4825 -502452 1158459 2379856 4775 -728545 1656086 2208410 5800 165646 2379856 2018917 3250 186243 2208410 1781491 5430 231996 2018917 0.40636 0.59364 0.00000 0 0 74203 74203 4115722 3522966 592756 569450 484081 85369 752328 BENEFICIAL INTEREST IN PERPETUAL TRUST 7199626 7199626 X 4102706 -100171 493021 392850 3709856 0 3709856 4508969 0 4508969 0 4508969 PART V, LINE 4: THE FUNDS ARE DONOR RESTRICTED AND BOARD DESIGNATED WITH THE PRINCIPAL TO REMAIN INTACT AND THE INTEREST ON SUCH FUNDS IS TO BE USED TO ASSIST IN THE ORGANIZATION'S CHARITABLE OPERATIONS. PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM THE FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A) OF THE CODE AS OTHER THAN A PRIVATE FOUNDATION. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A). THE ORGANIZATION EVALUATES THEIR UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO RECORDED UNCERTAIN TAX POSITIONS RECORDED IN 2023 AND 2022. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION FILES VARIOUS FEDERAL OR STATE NON-PROFIT TAX RETURNS. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE EXAMINATIONS BY TAX AUTHORITIES FOR TAX YEARS PRIOR TO 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 493,021. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN PREPARER SUBMITS A COPY OF FORM 990 TO THE BOOKKEEPER. THE BOOKKEEPER PRINTS OUT THREE COPIES OF THE RETURN. THE ADMINISTRATOR, BOARD PRESIDENT, AND THE BOOKKEEPER REVIEW THE RETURN AND IF THEY AGREE THEY LET THE RETURN PREPARER KNOW THAT THE RETURN IS READY TO BE PROCESSED, AND INFORM ALL OTHER MEMBERS OF THE BOARD THAT THE RETURN IS READY FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED BY REQUIRING ALL CONFLICTS TO BE UPDATED ANNUALLY BY THE ORGANIZATION'S BOARD MEMBERS AND STAFF. FOR EACH INTEREST DISCLOSED OR EACH INTEREST THAT MAY ARISE THE ADMINISTRATOR, PRESIDENT OF THE BOARD OR FULL BOARD, AS APPROPRIATE, WILL DETERMINE WHETHER THE ORGANIZATION SHOULD (A) TAKE NO ACTION OR (B) DISCLOSE THE SITUATION MORE BROADLY AND INVITE RESOLUTION OF THE FULL BOARD AS TO WHAT ACTION TO TAKE, OR (C) REFRAIN FROM TAKING ACTION AND OTHERWISE AVOID THE CONFLICT. IN MOST CASES THE BROADEST DISCLOSURE POSSIBLE IS ADVISABLE SO THAT DECISION-MAKERS CAN MAKE INFORMED DECISIONS THAT ARE IN THE BEST INTEREST OF THE ORGANIZATION. WHEN THE CONFLICT INVOLVES A DECISION- MAKER, THE PERSON WITH THE CONFLICT MUST FULLY DISCLOSE THE CONFLICT TO OTHER DECISION- MAKERS, MAY NOT BE INVOLVED IN THE DECISION OF WHAT ACTION TO TAKE. FORM 990, PART VI, SECTION B, LINE 15 FOR THE ADMINISTRATOR, COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS THROUGH DELIBERATION AT BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE POSTED ON THE BULLETIN BOARD IN THE HALLWAY OF THE FACILITY. REQUESTS FOR COPIES OF POLICIES AND FINANCIAL STATEMENTS MUST BE MADE IN WRITING. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 493,021. FORM 990, PART XII, LINE 2C THE BOARD HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE RETURN, AND SELECTION OF THE INDEPENDENT AUDITOR. RL WARNER CAMPUS INC 620 N OTTAWA AVENUE DIXON IL 61021 371295622 CONTINUING CARE RETIREMENT COMMUNITY IL DIXON OLD PEOPLE'S HOME FUND INC C -75 400324 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0