Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 98,601 | 2,216,305 | 345,988 | 267,245 | 132,399 | 3,060,538 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 15,984,666 | 17,512,982 | 17,664,372 | 22,181,193 | 24,596,332 | 97,939,545 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 16,083,267 | 19,729,287 | 18,010,360 | 22,448,438 | 24,728,731 | 101,000,083 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 101,000,083 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 16,083,267 | 19,729,287 | 18,010,360 | 22,448,438 | 24,728,731 | 101,000,083 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 718,759 | 983,553 | 881,579 | 875,980 | 678,669 | 4,138,540 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 718,759 | 983,553 | 881,579 | 875,980 | 678,669 | 4,138,540 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 16,802,026 | 20,712,840 | 18,891,939 | 23,324,418 | 25,407,400 | 105,138,623 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 2 | THE ORGANIZATION HAS COMPLETED INITIAL PLANNING WORK FOR A NEW HOME CARE SERVICE PROGRAM FOR WESTMINSTER VILLAGE RESIDENTS ONLY TO BEGIN IN THE FALL OF 2023. "WELL @ WESTMINSTER" WILL SERVE AS A HOME SERVICES & HOME NURSING AGENCY PROVIDING ASSISTANCE WITH A VARIETY OF HOME SERVICES INCLUDING COMPANIONSHIP, HOMEMAKER SERVICES AND ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. IN ADDITION, LICENSED NURSING SERVICES INCLUDING MEDICATION ADMINISTRATION, DRESSING CHANGES, INJECTIONS AND CARE COORDINATION WILL ALSO BE PROVIDED. |
| FORM 990, PART VI, SECTION B, LINE 11B | ALL BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING IT WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | 1. SPECIFIC DISCLOSURE: MEMBERS OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF SHALL DISCLOSE FULLY THE PRECISE NATURE OF THEIR INTEREST OF INVOLVEMENT WHEN PARTICIPATING IN ANY TRANSACTION OF THE ORGANIZATION IN WHICH ANOTHER PARTY TO THE TRANSACTION INCLUDES: A. HIMSELF OR HERSELF; B. A MEMBER OF THE FAMILY (SPOUSE, PARENTS, BROTHERS, SISTERS, CHILDREN, IN-LAWS, OR ANY OTHER IMMEDIATE RELATIVE); OR C. AN ORGANIZATION WITH WHICH THE MEMBER OF THE WV, INC. BOARD, ADMINISTRATION OR MANAGEMENT STAFF OR HIS OR HER FAMILY IS AFFILIATED. D. DISCLOSURE SHALL BE MADE AT THE FIRST KNOWLEDGE OF A TRANSACTION. 2. GENERAL DISCLOSURE: MEMBERS OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WILL DISCLOSE ALL RELATIONSHIPS AND BUSINESS AFFILIATIONS WHICH MAY NOW, OR IN THE FUTURE, CONFLICT WITH THE INTERESTS OF THE ORGANIZATION OR BRING PERSONAL GAIN TO THEM OR THEIR FAMILY OR BUSINESS. IF ANY MEMBER OF THE WV, INC. BOARD, ADMINISTRATION OR MANAGEMENT STAFF OR A MEMBER OF HIS OR HER FAMILY ACTS IN ONE OR MORE OF THE FOLLOWING CAPACITIES, DISCLOSURE MUST BE MADE: A. IS AN OFFICER, DIRECTOR, TRUSTEE, PARTNER, EMPLOYEE, OR AGENT OF AN ORGANIZATION WITH WHICH OUR ORGANIZATION HAS BUSINESS DEALINGS; B. IS EITHER THE ACTUAL OR BENEFICIAL OWNER OF MORE THAN ONE PERCENT OF THE VOTING STOCK OR CONTROLLING INTEREST OF AN ORGANIZATION WITH WHICH OUR ORGANIZATION HAS BUSINESS DEALINGS; C. IS A CONSULTANT FOR SUCH AN ORGANIZATION; OR HAS ANY OTHER DIRECT OR INDIRECT DEALINGS WITH AN INDIVIDUAL OR ORGANIZATION FROM WHICH HE OR SHE IS MATERIALLY BENEFITTING (E.G., THROUGH THE RECEIPT, DIRECTLY OR INDIRECTLY, OR CASH, GIFTS, OR OTHER PROPERTY). 3. REPORTING OF DISCLOSURES: ALL DISCLOSURES AS THEY APPLY TO STAFF WILL BE HANDLED BY THE EXECUTIVE DIRECTOR IN CONCURRENCE WITH THE WV, INC. BOARD PRESIDENT. ALL DISCLOSURES AS THEY APPLY TO MEMBERS OF THE WV, INC. BOARD SHALL BE LISTED AT THE END OF THIS DOCUMENT AND WILL BE REFERRED TO THE PRESIDENT OF THE BOARD. INFORMATION DISCLOSED TO THE PRESIDENT OF THE BOARD OR THE EXECUTIVE DIRECTOR WILL BE HELD IN CONFIDENCE, EXCEPT WHEN THE ORGANIZATION'S BEST INTERESTS WOULD BE SERVED BY BRINGING THE INFORMATION TO THE ATTENTION OF THE EXECUTIVE COMMITTEE OR THE BOARD. A. EACH MEMBER OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WILL COMPLETE AND UPDATE ANY DISCLOSURE OR SUSPECTED DISCLOSURE ANNUALLY. 4. FAILURE TO DISCLOSE: EACH MEMBER OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WHO IS REQUESTED TO FILE THIS CONFLICT OF INTEREST STATEMENT SHOULD RECOGNIZE THAT SUCH FILING IS A REQUIREMENT FOR CONTINUED AFFILIATION OR EMPLOYMENT WITH OUR ORGANIZATION AND, FURTHER, THAT FAILURE TO KNOWINGLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST COULD RESULT IN DISAFFILIATION OR TERMINATION OF EMPLOYMENT. A. MEMBERS OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WHO HAVE A CONFLICT OF INTEREST IN ANY MATTER SHALL REFRAIN FROM PARTICIPATING IN THE CONSIDERATION OF THE PROPOSED TRANSACTION. THE PERSON OR PERSONS INVOLVED WILL NOT VOTE ON SUCH MATTERS. HOWEVER, FOR SPECIAL REASONS, THE BOARD MAY REQUEST INFORMATION OR INTERPRETATION FROM THE PERSON OR PERSONS INVOLVED. B. WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF SHALL NOT ACCEPT GIFTS, FAVORS OR HOSPITALITY THAT MAY INFLUENCE THEIR DECISION MAKING OR ACTIONS AFFECTING THE VILLAGE EXCEPT FOR NORMAL BUSINESS LUNCHES, ENTERTAINMENT OR COMMEMORATIONS. C. ALTHOUGH IT IS RECOGNIZED THAT A DEGREE OF DUALITY OF INTEREST MAY EXIST FROM TIME TO TIME, AN EFFORT SHOULD BE MADE TO MINIMIZE SUCH DUALITY AND SUCH DUALITY SHALL NOT BE PERMITTED TO ADVERSELY INFLUENCE THE DECISION MAKING PROCESS. 5. HIRING OF FAMILY MEMBERS OF WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF: A. FAMILY MEMBERS OF WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WILL NOT BE HIRED WITHOUT BOARD APPROVAL. THIS INCLUDES RELATIVES WITH KINSHIP BY BLOOD, ADOPTION OR MARRIAGE. |
| FORM 990, PART VI, SECTION B, LINE 15A | EXECUTIVE COMMITTEE RECEIVES A SELF-EVALUATION OF EXECUTIVE DIRECTOR AND SOLICITS THE REVIEW FROM ALL BOARD MEMBERS. SALARY SURVEY DATA FROM H.C.S. IS THEN USED FOR COMPARABILITY DATA. THE FULL BOARD THEN ACTS ON THE RECOMMENDATION FOR NEXT YEAR SALARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THERE WAS NO CHANGE IN THE AUDIT OVERSIGHT PROCESS OR AUDITOR SELECTION PROCESS DURING THE YEAR. |
| Software ID: | |
| Software Version: |