Form990-PF
Click to see attachment
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Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 10-01-2021 , and ending 09-30-2022
Name of foundation
VERSACARE INC
 
Number and street (or P.O. box number if mail is not delivered to street address)25745 BARTON ROAD 515
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LOMA LINDA, CA92354
A Employer identification number

33-0052434
B Telephone number (see instructions)

(951) 343-5800
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$60,632,834J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 1,206,594 1,206,835  
4 Dividends and interest from securities... 985,975 985,975  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 3,294,246
b Gross sales price for all assets on line 6a 22,118,880
7 Capital gain net income (from Part IV, line 2)... 3,287,133
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 65,777 109,932  
12 Total. Add lines 1 through 11........ 5,552,592 5,589,875  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 140,772 46,455   100,817
14 Other employee salaries and wages...... 48,261 15,926   32,660
15 Pension plans, employee benefits....... 12,970 4,280   5,090
16a Legal fees (attach schedule)......... Click to see attachment 2,814 929   1,885
b Accounting fees (attach schedule)....... Click to see attachment 34,600 11,418   23,182
c Other professional fees (attach schedule).... Click to see attachment 274,988 225,416   48,981
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 177,590 11,720   400
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 500 165   335
21 Travel, conferences, and meetings....... 57,124 18,851   38,757
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 24,357 8,036   16,384
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 773,976 343,196   268,491
25 Contributions, gifts, grants paid....... 2,302,330 2,302,330
26 Total expenses and disbursements. Add lines 24 and 25 3,076,306 343,196   2,570,821
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,476,286
b Net investment income (if negative, enter -0-) 5,246,679
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 4,050,622 530,348 530,348
2 Savings and temporary cash investments.........   4,423,345 4,423,345
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet17,338,500
Less: allowance for doubtful accounts bullet0 17,338,500 Click to see attachment17,338,500 17,338,500
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........   38,752 38,752
10a Investments—U.S. and state government obligations (attach schedule) 2,085,178 Click to see attachment3,403,875 3,403,875
b Investments—corporate stock (attach schedule)....... 22,316,476 Click to see attachment24,543,972 24,543,972
c Investments—corporate bonds (attach schedule)....... 3,310,326 Click to see attachment4,976,373 4,976,373
11 Investments—land, buildings, and equipment: basis bullet336,529
Less: accumulated depreciation (attach schedule) bullet   324,395 336,529 336,529
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,771,365 Click to see attachment1,569,026 1,569,026
14 Land, buildings, and equipment: basis bullet4,450
Less: accumulated depreciation (attach schedule) bullet4,395 55 Click to see attachment55 55
15 Other assets (describe bullet) Click to see attachment461,000 Click to see attachment3,472,059 Click to see attachment3,472,059
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 51,657,917 60,632,834 60,632,834
Liabilities 17 Accounts payable and accrued expenses.......... 153,233 141,517
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment17,310,561 Click to see attachment1,529,657
23 Total liabilities (add lines 17 through 22)......... 17,463,794 1,671,174
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 34,194,123 58,961,660
25 Net assets with donor restrictions............ 0 0
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 34,194,123 58,961,660
30 Total liabilities and net assets/fund balances (see instructions). 51,657,917 60,632,834
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
34,194,123
2
Enter amount from Part I, line 27a .....................
2
2,476,286
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
30,043,012
4
Add lines 1, 2, and 3 ..........................
4
66,713,421
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
7,751,761
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
58,961,660
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES P 2021-10-01 2022-09-30
b CONTEMPORARY HEALTHCARE FUND I LP P 2021-10-01 2022-09-30
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 22,118,880   18,824,634 3,294,246
b     7,113 -7,113
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       3,294,246
b       -7,113
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 3,287,133
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 72,929
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 72,929
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 94,908
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 65,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 159,908
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 212
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 86,767
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet86,767 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA, FL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
    Yes
     
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.VERSACARE.ORG
    14
    The books are in care ofbulletDANETTE ZUREK Telephone no.bullet (951) 343-5800

    Located atbullet25745 BARTON ROAD 515LOMA LINDACA ZIP+4bullet92354
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
    Yes
     
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
    No
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
    Yes
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d). Click to see attachment
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    TOM MACOMBER PRESIDENT
    20.00     		98,951 15,600 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    DANETTE ZUREK CFO
    5.00     		30,600 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    CHARLES C SANDEFUR CHAIRMAN
    3.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    ELLEN H BRODERSEN CPA TREASURER
    4.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    RICHARD WS PERSHING SECRETARY
    3.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    DEBRA BRILL DIRECTOR
    2.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    MYRNA COSTA DIRECTOR
    3.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    LISA BISSEL PAULSON DIRECTOR
    2.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    BRAD FORBES DIRECTOR
    3.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    MARISSA LESLIE DIRECTOR
    2.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    DARRIEL HOY DIRECTOR
    2.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    KARI STAUFFER DIRECTOR
    2.00     		2,500 0 0
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    CAPITAL ADVISOR INC INVESTMENT ADVISOR FEES 224,715
    2200 S UTICA PLACE SUITE 150
    TULSA,OK74110
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 PROGRAM-RELATED INVESTMENT TO CONTEMPORARY HEALTHCARE FUND I, LP AND CONTEMPORARY HEALTHCARE FUND III, LP WILL HELP SEEK FLEXIBLE NON-DILUTIVE FINANCING SOLUTIONS TO FINANCE SENIOR RETIREMENT LIVING, SKILLED NURSING, AND OTHER RELATED ENTITIES WITHIN THIS SPECIFIC SEGMENT OF THE HEALTHCARE INDUSTRY. THIS WILL ENHANCE PARTNERSHIPS THROUGH CONTINUED SUPPORT AND ADVOCACY IN WAYS THAT DRIVE POSITIVE OPERATING PERFORMANCE FOR THE SENIOR HOUSING MARKET AND BEYOND. THE INITIAL INVESTMENTS WERE MADE IN 2010. 0
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    38,967,989
    b
    Average of monthly cash balances.......................
    1b
    5,132,149
    c
    Fair market value of all other assets (see instructions)................
    1c
    17,818,978
    d
    Total (add lines 1a, b, and c).........................
    1d
    61,919,116
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    61,919,116
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    928,787
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    60,990,329
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    3,049,516
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    3,049,516
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    72,929
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    72,929
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,976,587
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    29,932
    5
    Add lines 3 and 4............................
    5
    3,006,519
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    3,006,519
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 3,006,519
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020...... 210,637
    f Total of lines 3a through e ........ 210,637
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 2,570,821
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 2,570,821
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 210,637 210,637
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		225,061
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    THE VERSAFUND
    25745 BARTON ROAD SUITE 515
    LOMA LINDA,CA92354
    (951) 343-5800
    bThe form in which applications should be submitted and information and materials they should include:
    CALL OR WRITE FOR APPLICATION FORM.
    cAny submission deadlines:
    APPLICATION AND ACCOMPANYING MATERIALS DUE DECEMBER 31ST. GRANTS ANNOUNCED BY MARCH 31ST.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    FUNDING WILL BE CONSIDERED FOR INNOVATIVE MINISTRY IDEAS, ESPECIALLY IN THE AREAS OF CHRISTIAN EDUCATION, YOUTH MINISTRY, AND HEALTHCARE.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ABBAS CHILD GRIEF SUPPORT INC
    7034 FIRESIDE WAY
    CASTLE ROCK,CO80108     		NONE PC GENERAL SUPPORT 20,000
    ACTS OF KINDNESS SOCIETY
    23589 OLE YALE RD
    LANGLEY,BRITISH COLUMBIAV27 2K4
    CA     		NONE NC GENERAL SUPPORT 45,000
    ADVENTIST FORUM AKA SPECTRUM MAGAZINE
    PO BOX 619047
    ROSEVILLE,CA956619047     		NONE PC TO PROVIDE PUBLICATIONS FOR RELIGIOUS COMMUNITY 35,000
    ADVENTIST HEALTH INTERNATIONAL
    11060 ANDERSON ST MAGAN HALL
    CRIMSON DR
    LOMA LINDA,CA92350     		NONE PC TO SUPPORT THE MINISTRY AND MISSION OF THE SEVENTH-DAY ADVENTIST CHURCH 200,000
    ADVENTIST LEARNING COMMUNITY NORTH AMERICAN DIVISION OF SDA
    10313 N TUDOR RD
    BERRIEN SPRINGS,MI49103     		NONE PC TO SUPPORT EDUCATIONAL COURSES AND CONTENT FOR THE CHURCH COMMUNITY 45,000
    ADVENTSOURCE
    5120 PRESCOTT AVE
    LINCOLN,NE685065431     		CEO IS A BOARD MEMBER PC TO SUPPORT RELIGIOUS COMMUNITY 20,300
    ANDREWS UNIVERSITY
    8488 E CAMPUS CIRCLE DR
    BERRIEN SPRINGS,MI49104     		NONE PC TO BE USED FOR STEM EDUCATION 31,000
    ANTHONY BATES FOUNDATION
    111 E DUNLAP AVE STE 1-291
    PHOENIX,AZ85020     		NONE PC TO SUPPORT SUDDEN CARDIAC ARREST YOUTH PREVENTION PROGRAM 5,000
    ANTIGUA SEVENTH-DAY ADVENTIST SCHOOL
    8100 SW 117TH AVE
    MIAMI,FL33183     		NONE PC TO BE USED FOR STEM EDUCATION 10,000
    ARCTIC LIGHT MINISTRIESINC
    PO BOX 661
    TOK,AK99780     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 7,750
    ARIZONA CONFERENCE CORP OF SEVENTH-DAY ADVENTIST
    13405 N SCOTTSDALE RD
    SCOTTSDALE,AZ85267     		NONE PC TO SUPPORT G.I.V.E INITIATIVE AND TEACHER WELLNESS INITIATIVE PROGRAMS 40,000
    BASS CHRISTIAN ELEMENTARY SCHOOL
    74 MARANATHA CIRCLE
    LUMBERTON,MS39455     		NONE PC TO BE USED FOR STEM EDUCATION 5,000
    BEACON LIGHT SDA CHURCH
    1943 DREW ST
    ANNAPOLIS,MD21401     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 32,560
    CAPITOL CITY SDA CHURCH
    PO BOX 245156
    SACRAMENTO,CA95824     		NONE PC TO SUPPORT WARMING CENTER AND LEONI MEADOWS PROGRAMS 25,000
    CARES LEARNING PARTNERSHIP - GOLDEN GATE ACADEMY CAMPUS
    3800 MOUNTAIN BLVD
    OAKLAND,CA94619     		NONE PC TO SUPPORT EDUCATIONAL COURSES 30,000
    CAROL'S KITCHEN
    244 MAPLE ST SUITE W
    BEAUMONT,CA92223     		NONE PC TO SUPPORT FOOD PANTRY PROGRAM 12,000
    CAUGHT UP
    5811 GRAYTON
    DETROIT,MI48334     		NONE PC TO SUPPORT MENTORSHIP PROGRAM FOR YOUNG MEN 59,740
    CHICAGO SDA CHRISTIAN SCHOOL
    7008 S MICHIGAN AVE
    CHICAGO,IL60637     		NONE PC TO BE USED FOR STEM EDUCATION 5,000
    CHISHOLM TRAIL ACADEMY
    401 S OLD BETSY RD
    KEENE,TX76059     		NONE PC TO SUPPORT OGARDEN PROJECT 6,550
    DECATUR ADVENTIST JUNIOR ACADEMY
    2584 YOUNG ROAD
    STONE MOUNTAIN,GA30088     		NONE PC TO BE USED FOR STEM EDUCATION 10,000
    DRUG ALTERNATIVE PROGRAM
    5101 MERIDIAN STREEN N
    HUNTSVILLE,AL35810     		NONE PC TO SUPPORT REHABILITATION PROGRAMS 25,000
    ELLICOTT CITY SDA CHURCH
    3223 EASTERN AVE
    BALTIMORE,MD21224     		NONE PC TO SUPPORT URBAN LIFE CENTER 25,000
    EPHESUS TEMPLE SDA CHURCH
    1020 SPENCER ST
    HATTIESBURG,MS39401     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 12,500
    EXTREME MOBILITY CAMPS INC
    3578 CLARIDGE CT
    SIMI VALLEY,CA93063     		NONE PC TO SUPPORT RECREATIONAL ACTIVITIES FOR HANDICAPPED CHILDREN 10,000
    FLORIDA CONFERENCE OFFICE OF EDUCATION
    351 S STATE ROAD 434
    ALTAMONTE SPRINGS,FL32714     		NONE PC TO SUPPORT CAMP KULAQUA PROGRAM 17,000
    FORKS SDA CHURCH
    125 E APPLE LN
    PORT ANGELES,WA98362     		NONE PC TO SUPPORT RECREATIONAL PARK 10,000
    FREDERICK SEVENTH-DAY ADVENTIST CHURCH
    6437 JEFFERSON PIKE
    FREDERICK,MD21703     		NONE PC TO SUPPORT PRAYER AND FITNESS TRAIL PROGRAM 15,000
    FRIENDSHIPS FOR HOPE INC
    2711 BURDEN WAY
    NATIONAL CITY,CA91950     		NONE PC TO PROVIDE EDUCATION, FOOD, AND SHELTER TO IMMIGRANTS AND REFUGEES 25,000
    GENERAL CONFERENCE OF SDA CLIFFORD UNIVERSITY
    12501 OLD COLUMBIA PIKE
    SILVER SPRING,MD20904     		NONE PC TO SUPPORT IRISH MISSION OF SDA 33,000
    GOOD NEWS BROADCASTING CORP
    290 CHALAN PALOSYO STE 3A
    AGANA HEIGHTS   92910-6460
    GQ     		NONE NC TO SUPPORT JOY FM RADIO PROGRAM 10,000
    GOOD NEWS TV
    13405 N SCOTTSDALE RD
    SCOTTSDALE,AZ85254     		NONE PC TO SUPPORT BROADCASTING OF EDUCATION AND RELIGIOUS PROGRAMS 20,000
    GREAT LAKES ADVENTIST ACADEMY
    7477 ACADEMY RD
    CEDAR LAKE,MI48812     		NONE PC TO BE USED FOR STEM EDUCATION 10,000
    HARBOR OF HOPE SDA CHURCH
    769 PIPESTONE ST
    BENTON HARBOR,MI49022     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 40,000
    HAWAII CONFERENCE OF SDA
    2728 PALI HIGHWAY
    HONOLULU,HI96817     		NONE PC SPECIAL EDUCATION RESOURCE 30,000
    HINSDALE ADVENTIST ACADEMY
    631 E HICKORY ST
    HINSDALE,IL60521     		NONE PC TO BE USED FOR STEM EDUCATION 10,000
    HOLBROOK INDIAN SCHOOL
    PO BOX 910 MCLAWS RD
    HOLBROOK,AZ86025     		NONE PC TO BE USED FOR STEM EDUCATION 40,000
    HOPE HOUSE
    6247 S PUGET SOUND AVE
    TACOMA,WA98409     		NONE PC GENERAL SUPPORT 5,000
    HUNTSVILLE FIRST SDA CHURCH
    1303 EVANGEL DR NW
    HUNTSVILLE,AL35816     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 13,000
    IDAHO CONFERENCE YOUTH CAMP
    2595 EASTSIDE RD PO BOX 4330
    MCCALL,ID83638     		NONE PC TO SUPPORT CAMP IDA-HAVEN PROGRAM 10,000
    INDIGENOUS MINISTRIES OF THE SEVENTH-DAY ADVENTIST CHURCH IN CANADA
    1148 KING ST EAST
    OSHAWA,ONTARIOL1H 2H8
    CA     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 15,000
    INTER AMERICAN DIVISION OF SDA
    8100 SW 117TH AVE
    MIAMI,FL22183     		NONE PC TO SUPPORT EAST CARIBBEAN CONFERENCE OF SDA MEDIATORS 40,000
    INTERNATIONAL CHILDREN'S CARE
    2711 NE 134TH WAY
    VANCOUVER,WA98686     		NONE PC TO SUPPORT ADOPTION PROGRAM 100,000
    IRISH MISSION
    33 ADAMSTOWN AVE
    ADAMSTOWN CASTLE    
    EI     		NONE NC GENERAL SUPPORT 30,000
    JOURNEY FELLOWSHIP SEVENTH-DAY ADVENTIST CHURCH
    7950 CLUB CENTER DR
    CORDOVA,TN38016     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 1,600
    LA SIERRA UNIVERSITY
    4500 RIVERWALK PKWY
    RIVERSIDE,CA92505     		NONE PC TO SUPPORT ARCHAEOLOGY DEPARTMENT 34,000
    LEONI MEADOWS CAMP
    PO BOX 619015
    ROSEVILLE,CA956619015     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 25,000
    LIBERTY MISSION CHURCH COMMUNITY CENTER
    1105 46TH ST NE
    WASHINGTON,DC20019     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 13,800
    LOMA LINDA UNIVERSITY
    11060 ANDERSON ST MAGAN HALL 103
    LOMA LINDA,CA92350     		NONE PC TO BE USED FOR STEM EDUCATION 300,000
    LOVEUNTIL FOUNDATION
    LP 2 C UPPER CHURCH ST
    LAVENTILLE    
    TD     		NONE NC GENERAL SUPPORT 15,000
    MARANATHA SDA CHURCH
    18900 NW 32ND AVE
    MIAMI GARDENS,FL33056     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 17,000
    METROPOLITAN SEVENTH-DAY ADVENTIST CHURCH
    6307 RIGGS RD
    HYATTSVILLE,MD20783     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 11,500
    MID-AMERICA UNION CONFERENCE OF SDA
    8307 PINE LAKE RD
    LINCOLN,NE68516     		NONE PC TO SUPPORT SCHOOL GUIDANCE COUNSELOR PROGRAM 50,000
    MIRACLE CITY SDA CHURCH
    100 S ROCK GLEN RD
    BALTIMORE,MD21229     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 10,000
    NEVADA UTAH CONFERENCE OF SDA
    10475 DOUBLE R BLVD
    RENO,NV89521     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 45,000
    NORTH AMERICAN DIVISION OF SDA
    9705 PATUXENT WOODS DR
    COLUMBIA,MD21229     		NONE PC TO SUPPORT PASTOR MENTAL HEALTH STUDY, END IT NOW PROGRAM AND SONSCREEN FILM FEST 125,000
    NORTH COUNTY HEALTH PROJECT INC DBA TRUECARE
    150 VALPREDA RD
    SAN MARCOS,CA92069     		NONE PC TO SUPPORT AFFORDABLE HEALTH CARE PROGRAMS 10,000
    NORTH EASTERN CONFERENCE SDA
    115-50 MERRICK BLVD
    JAMAICA,NY11434     		NONE PC TO SUPPORT WOMEN'S MINISTRIES GIGING INTO MATURE SISTERS PROGRAM 42,000
    NORTH SHORE ADVENTIST ACADEMY
    5220 N CALIFORNIA AVE
    CHICAGO,IL60625     		NONE PC TO BE USED FOR STEM EDUCATION 9,000
    NORTHEAST SEVENTH-DAY ADVENTIST CHURCH
    827 TOM HUNTER RD
    CHARLOTTE,NC28213     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 30,000
    NORTHEASTERN CONFERENCE ADVENTIST YOUTH MINISTRIES DEPARTMENT
    115-50 MERRICK BLVD
    JAMAICA,NY11434     		NONE PC TO SUPPORT CAMP VICTORY LAKE AND SPORT MINISTRIES PROGRAMS 30,000
    NORTHERN CALIFORNIA CONFERENCE OF SDA YOUTH DEPARTMENT
    PO BOX 619015
    ROSEVILLE,CA956619015     		NONE PC TO SUPPORT SUMMER ON THE RUN PROGRAM 10,000
    OMAHA MEMORIAL ADVENTIST SCHOOL
    840 N 72ND ST
    OMAHA,NE68114     		NONE PC TO BE USED FOR STEM EDUCATION 4,530
    PENN VALLEY SEVENTH DAY ADVENTIST CHURCH
    17645 PENN VALLEY DR
    PENN VALLEY,CA95946     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 10,000
    PINE TREE ACADEMY
    67 POWNAL RD
    FREEPORT,ME04032     		NONE PC TO BE USED FOR STEM EDUCATION 10,000
    PISGAH PANTRY OUTREACH
    3331 NW 214TH ST
    MIAMI GARDENS,FL33056     		NONE PC TO PROVIDE FOOD ASSISTANCE TO SENIORS, VETERANS, AND DISABLED INDIVIDUALS. 25,000
    PORT ANGELES SDA CHURCH
    120 E 8TH ST
    PORT ANGELES,WA98362     		NONE PC TO SUPPORT HOMELESS MINISTRY 11,000
    PORTLAND ADVENTIST COMMUNITY SERVICES
    11020 NE HALSEY ST
    PORTLAND,OR97220     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 15,000
    PROJECT PATCH
    PO BOX 820209
    VANCOUVER,WA98682     		NONE PC TO SUPPORT AT-RISK TEEN PROGRAMS 15,000
    RAISE YOUR VOICE
    2815 DURHAM DR
    VENUS,TX76084     		NONE PC GENERAL SUPPORT 34,500
    RIVERVIEW CHRISTIAN ACADEMY
    7125 W 4TH ST 7125
    RENO,NV89523     		NONE PC TO BE USED FOR STEM EDUCATION 5,000
    SOUTH CENTRAL CONFERENCE OF SDA
    715 YOUNGS LN
    NASHVILLE,TN37207     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 10,000
    SOUTH JACKSON SEVENTH-DAY ADVENTIST CHURCH
    300 BYRAM DR APT 35D
    BYRAM,MS39272     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 10,000
    SOUTHWEST REGION CONFERENCE OF SDA
    2215 LANARK AVE
    DALLAS,TX75203     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 37,000
    SOUTHWESTERN ADVENTIST UNIVERSITY
    100 W HILLCREST
    KEENE,TX76059     		NONE PC TO SUPPORT LEVELED LITERACY LAB AND MAKERSPACE AND DESIGN LAB PROGRAMS 22,500
    TEAM FOR EQUALITY IN ADVENTIST MINISTRY
    PO BOX 7816
    LANGLEY PARK,MD207877816     		NONE PC TO PROVIDE SCHOLARSHIPS FOR ADVENTIST WOMEN CLERGY 35,000
    THE UNFORGETTABLES FOUNDATION
    345 W PEARL AVE SUITE 230
    REDLANDS,CA92374     		NONE PC TO PROVIDE BURIAL EXPENSES FOR LOW INCOME FAMILIES 50,000
    THUNDERBIRD ADVENTIST ACADEMY
    7410 E SUTTON DR
    SCOTTSDALE,AZ85260     		NONE PC TO BE USED FOR STEM EDUCATION 10,000
    THUNDERBIRD CHRISTIAN ELEMENTARY SCHOOL
    7440 E SUTTON DR
    SCOTTSDALE,AZ85260     		NONE PC TO BE USED FOR STEM EDUCATION 5,000
    WASHINGTON ADVENTIST UNIVERSITY INC
    7600 FLOWER AVE
    TAKOMA PARK,MD20912     		NONE PC TO BE USED FOR STEM EDUCATION 21,000
    WISCONSIN CONFERENCE OF SEVENTH-DAY ADVENTIST
    N 2561 OLD HWY 16
    FALL RIVER,WI53932     		NONE PC TO SUPPORT RELIGIOUS COMMUNITY 2,500
    Total .................................bullet 3a 2,302,330
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 1,206,594  
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 3,294,246  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aROYALTY INCOME     		    15 1,710  
    bMISCELLANEOUS INCOME     01 57  
    cFTB REFUND     01 10  
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 5,552,592 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    5,552,592
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 34,600 11,418   23,182

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 ExpenditureResponsibilityStmt
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
    ACTS OF KINDNESS SOCIETY
          		23589 OLE YALE RD
    LANGLEY,BRITISH COLUMBIAV27 2K4
    CA     		2022-03-23 45,000 TO SUPPORT MOMS ON THE MOVE PROGRAM FOR TRANSITIONAL AND ONGOING SUPPORT FOR WOMEN. GRANT FUNDS WILL SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF SUPPORT GROUPS AND CONTINUED CARE FOR MOMS IN CRISIS. THIS INCLUDES MONTHLY SUPPORT GROUPS AND INDIVIDUAL COUNSELING WITH THERAPEUTIC OUTCOMES FOR SINGLE MOMS AND COMMUNITY MOMS AS THEY ARE RUN BY CERTIFIED COUNSELOR(S). 45,000 NONE APRIL 2023   TO THE KNOWLEDGE OF THE TAXPAYER, AND BASED ON REPORTS SUBMITTED BY THE GRANTEE, NO PART OF THE GRANT WAS USED FOR OTHER THAN THE INTENDED PURPOSE.
    GOOD NEWS BROADCASTING CORP
          		290 CHALAN PALOSYO STE 3A
    AGANA HEIGHTS   92910-6460
    GQ     		2022-04-01 10,000 GRANT FUNDING WENT TOWARDS THE PURCHASE OF THE TV STATION IN MAY OF 2022. THE RADIO HAS BEEN BROADCASTING CHRIST-CENTERED PROGRAMS THAT FOSTER SPIRITUAL, PHYSICAL, MENTAL, AND EMOTIONAL HEALTH 24 HOURS/DAY OVER 4 CHANNELS. IN ADDITION TO ENGLISH AND SPANISH CHANNELS, THE PURCHASE OF THIS STATION HAS ALSO ALLOWED US TO ADD A KID'S CHANNEL AND A MUSIC CHANNEL, BOTH 24 HOURS/DAY. 10,000 NONE MAY 3, 2022; FEBRUARY 27, 2023   TO THE KNOWLEDGE OF THE TAXPAYER, AND BASED ON REPORTS SUBMITTED BY THE GRANTEE, NO PART OF THE GRANT WAS USED FOR OTHER THAN THE INTENDED PURPOSE.
    INDIGENOUS MINISTRIES OF THE SEVENTH-DAY ADVENTIST CHURCH IN CANADA
          		1148 KING ST EAST
    OSHAWA,ONTARIOON L1H 1H9
    CA     		2022-03-21 15,000 (1) INCREASING NATIVE AMERICAN SPOKEN WORD CONTENT (2) INCREASING LISTENER STATS (3) GETTING INDIGENOUS HOPE RADIO ONTO ROKU TV (AIRING AS NATIVE CHRISTIAN RADIO) (4) IMPROVE PRINCE GEORGE, BC LAND FM STATION AWARENESS (5) INCREASE NATIVE AMERICAN MUSICAL CONTENT 15,000 NONE OCTOBER 31, 2022; APRIL 2, 2023   TO THE KNOWLEDGE OF THE TAXPAYER, AND BASED ON REPORTS SUBMITTED BY THE GRANTEE, NO PART OF THE GRANT WAS USED FOR OTHER THAN THE INTENDED PURPOSE.
    IRISH MISSION
          		33 ADAMSTOWN AVE
    ADAMSTOWN CASTLE    
    EI     		2022-03-21 30,000 (1) RUN AWARENESS AND TRAINING PROGRAMS WITHIN LOCAL CHURCHES;(2) PROVIDE MEDIATION SERVICES AND CONFLICT RESOLUTION EDUCATION TO THE COMMUNITY;(3) FACILITATE MEDIATION TRAINING ACROSS EUROPE AND THE UK;(4) NETWORK WITH OTHER LIKEMINDED INDIVIDUAL MEDIATORS AND MINISTRIES FROM ACROSS EUROPE;(5) BECOME THE OFFICIAL CERTIFICATION BODY FOR MEDIATORS IN EUROPE AND THE UK;(6) CONDUCT SUCCESSFUL MEDIATION AND ARBITRATION WITHIN BOTH THE CHURCH AND THE COMMUNITY. 30,000 NONE OCTOBER 2022; DECEMBER 3, 2022   TO THE KNOWLEDGE OF THE TAXPAYER, AND BASED ON REPORTS SUBMITTED BY THE GRANTEE, NO PART OF THE GRANT WAS USED FOR OTHER THAN THE INTENDED PURPOSE.
    LOVEUNTIL FOUNDATION
          		LP 2 C UPPER CHURCH ST
    LAVENTILLE    
    TD     		2022-03-21 15,000 A PROGRAM DESIGNED TO POSITIVELY IMPACT THE HIGH RISK, HIGH-CRIME, LOW-INCOME, UNDERSERVED AREA OF LAVENTILLE, PORT OF SPAIN, TRINIDAD, ADDRESSING THE FOLLOWING RISK FACTORS:1) AGRICULTURAL PROCESSING AND FOOD PRESERVATION TRAINING 2) BUSINESS VENTURE COOPERATIVE 3) LITERACY ESL PROGRAM FOR MIGRANTS 4) COMMERCIAL CATERING PROGRAM 15,000 NONE APRIL 21, 2022; JANUARY 27, 2023   TO THE KNOWLEDGE OF THE TAXPAYER, AND BASED ON REPORTS SUBMITTED BY THE GRANTEE, NO PART OF THE GRANT WAS USED FOR OTHER THAN THE INTENDED PURPOSE.

    TY 2021 GeneralExplanationAttachment
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Identifier Return Reference Explanation
      FORM 990-PF, PART XII, LINES 3, EXCESS DISTRIBUTION CARRYOVER IN THE PRIOR YEARS, THE MINIMUM INVESTMENT RETURN INADVERTENTLY INCLUDED CONTEMPORARY HEALTHCARE FUND I LP AND CONTEMPORARY HEALTHCARE FUND III LP WHICH ARE PROGRAM-RELATED INVESTMENT ASSETS, AND AS SUCH ARE CHARITABLE-USE ASSETS WHICH ARE NOT TO BE INCLUDED IN THE CALCULATION OF MINIMUM INVESTMENT RETURN. THIS RESULTED IN THE FOUNDATION'S DISTRIBUTABLE AMOUNT BEING OVERSTATED. THE FOUNDATION EVALUATED ITS MINIMUM INVESTMENT RETURN, DISTRIBUTABLE AMOUNT AND UNDISTRIBUTED INCOME CALCULATIONS AND DETERMINED THE FOUNDATION HAS NO UNDISTRIBUTED INCOME FOR TAX YEAR 2020 AND ACTUALLY HAS EXCESS DISTRIBUTIONS CARRYOVER FROM TAX YEAR 2020 OF $210,637. AS SUCH, PART XII, LINE 2A IS $0 AND PART XII, LINE 3E IS $210,637 TO ACCURATELY REFLECT THIS ADJUSTMENT.

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Name of Bond End of Year Book Value End of Year Fair Market Value
    APPLE INC NOTE CALL MAKE WHOLE 2.4% 197,814 197,814
    BANK OF AMER CORP 01/22/24 198,368 198,368
    BERKSHIRE HATHAWAY INC DEL NOTE 237,222 237,222
    CISCO SYS INC NOTE CALL MAKE WHOLE 345,527 345,527
    CITIGROUP INC NOTE 3.7% 1/12/26 189,506 189,506
    COMCAST CORP NEWNOTE 185,930 185,930
    EXXONMOBIL 283,464 283,464
    GOLDMAN SACHS GROUP 3.5% 4/1/25 238,800 238,800
    JP MORGAN CHASE 3.2% 1/25/23 348,880 348,880
    LOCKHEED MARTIN CORPNOTE CALL 94,730 94,730
    MCDONALDS CORP MTN CALL 289,215 289,215
    MERCK & CO INC NOTE CALL MAKE WHOLE 325,948 325,948
    MICROSOFT CORP NOTE 3.125% 11/3/25 192,058 192,058
    MORGAN STANLEY SERI MTN 3.125% 1/23/23 328,918 328,918
    HOME DEPOT 3.0% 4/1/26 188,928 188,928
    ORACLE CORP 199,888 199,888
    PEPSICO INC NOTE CALL MAKE WHOLE 296,727 296,727
    VERIZON COMMUNICATIONS INC 243,837 243,837
    WESTROCK CO SER B NOTE 3.75% 3/15/25 240,865 240,865
    WILLIAMS COS INC NOTE 3.7% 1/15/23 349,748 349,748

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ISHARES CORE S&P SMALL CAP E 85,882 85,882
    ISHARES EDGE MSCI INTL MOMENTUM 270,346 270,346
    ISHARES EDGE MSCI INTL VALUE 290,128 290,128
    ISHARES S&P MIDCAP 400 INDEX FUND 126,075 126,075
    ISHARES S&P 500 GROWTH ETF 87,932 87,932
    SCHWAB STRATEGIC TR INTL EQUITY ETF 36,569 36,569
    SCHWAB STRATEGIC TR INTL $CEQT 38,850 38,850
    SPDR SER TR PORTFLI HIGH YLD 93,608 93,608
    SPDR PORTFOLIO EMERGING MARKETS 140,456 140,456
    VANGUARD INTL EQUITY INDUS FDS FTSE EMR 36,855 36,855
    VANGUARD REAL ESTATE ETF 123,061 123,061
    VANGUARD WHITEHALL FDS HIGH DIV 139,474 139,474
    VANGUARD INTL EQ INDEX FDS FTSE SMCAP 218,104 218,104
    ABBVIE INC COM USD0.01 645,550 645,550
    ACCENTURE PLC CLS A 585,358 585,358
    ALPHABET INC CAP STK CL C 659,589 659,589
    AMAZON .COM INC 452,000 452,000
    APPLE INC 670,270 670,270
    APPLIED MATERIALS INC COM USD0.01 218,753 218,753
    ARES CAPITAL CORP COM STK .001 274,131 274,131
    BCE INC COM NEW ISIN 374,524 374,524
    BEAM THERAPEUTICS INC 70,031 70,031
    BERKSHIRE HATHAWAY INC COM 423,227 423,227
    BLACKROCK INC 253,679 253,679
    BLACKSTONE GROUP INC COM CL A 282,906 282,906
    BROADCOM INC COM CROSS TRADE 321,907 321,907
    BROOKFIELD ASSET MGMT INC 215,286 215,286
    BROOKFIELD INFRASTRUCTURE CORP 126,984 126,984
    BROOKFIELD RENEWABLE CORP CLASS 280,068 280,068
    CHEVRON CORP NEW COM CROSS 870,640 870,640
    CISCO SYS INC 246,400 246,400
    COCA COLA CO 567,763 567,763
    CRISPR THERAPEUTICS AG 81,426 81,426
    DANAHER CORP COM 499,791 499,791
    DEVON ENERGY 464,204 464,204
    DOLLAR GENERAL CORP NEW COM 251,853 251,853
    DOMINION ENERGY INC COM 499,320 499,320
    DOORDASH INC CL A CROSS TRADE 63,790 63,790
    EATON CORP PLC COM CROSS TRADE 196,706 196,706
    ECOLAB INC CROSS TRADE 126,367 126,367
    ENVIVA INC 87,387 87,387
    EXXON MOBIL CORP 791,465 791,465
    FIFTH THIRD BANCORP CROSS TRADE 235,865 235,865
    FREEPORT MCMORAN INC 225,609 225,609
    GENERAL MILLS INC CROSS TRADE 586,450 586,450
    GENERAL MOTORS 322,825 322,825
    HALLIBURTON CO COM 193,390 193,390
    HOME DEPOT INC COM CROSS TRADE 346,305 346,305
    HONEYWELL INTERNATIONAL 462,507 462,507
    INTELLIA THERAPEUTICS INC 110,801 110,801
    INTERPUBLIC GROUP COS INC 355,584 355,584
    INTUITIVE SURGICAL INC COM NEW 170,570 170,570
    JOHNSON & JOHNSON COM 381,446 381,446
    JP MORGAN CHASE & CO EXEC ON MULT 387,695 387,695
    KROGER 347,156 347,156
    LEGGETT & PLATT INC EXEC 294,495 294,495
    LOCKHEED MARTIN CORP 345,730 345,730
    MICROSOFT CORP CROSS TRADE 708,016 708,016
    NVIDIA CORP CROSS TRADE 84,366 84,366
    NXP SEMICONDUCTORS N V 168,161 168,161
    PAYCHEX INC COM USD0.01 413,494 413,494
    PEPSICO INC 389,375 389,375
    PFIZER INC 369,772 369,772
    PIONEER NATURAL RESOURCES CO 428,729 428,729
    PROCTER & GAMBLE 342,137 342,137
    RIO TINTO ADR EACH REP 1 238,134 238,134
    SCHLUMBERGER LIMITED COM 129,420 129,420
    SOUTHERN CO 589,220 589,220
    SOUTHERN COPPER CORP 200,883 200,883
    STRYKER CORP 177,222 177,222
    TEXAS INSTRUMENTS INC COM USD1.00 347,481 347,481
    THERMO FISHER SCIENTIFIC INC 435,169 435,169
    UBER TECHNOLOGIES INC 93,413 93,413
    UNILEVER PLC SPON ADR NEW 296,139 296,139
    UNITEDHEALTH GROUP EXEC 255,045 255,045
    VERIZON COMMUNICATIONS 287,433 287,433
    VISA INC 188,309 188,309
    WASTE MANAGEMENT INC 289,179 289,179
    WATSCO INC COMMON CL A 355,295 355,295
    WILLIAMS COS 702,437 702,437

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    US Government Securities - End of Year Book Value:

    3,403,875
    US Government Securities - End of Year Fair Market Value:

    3,403,875
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    AGNC INVT CORP COM FMV 180,567 180,567
    CHIMERA INVT CORP FMV 93,177 93,177
    SIMON PROPERTY GROUP FMV 320,856 320,856
    CONTEMPORARY HEALTHCARE FUND I, LP FMV 174,426 174,426
    CONTEMPORARY HEALTHCARE FUND III, LP FMV 800,000 800,000

    TY 2021 LandEtcSchedule2
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    CONFERENCE PHONE 491 491 0  
    DELL COMPUTER 1,129 1,129 0  
    DELL COMPUTER 1,128 1,128 0  
    COMPUTER SYSTEM FOR R. COY 1,702 1,647 55  


    TY 2021 LegalFeesSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 2,814 929   1,885


    TY 2021 OtherAssetsSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DUE FROM RELATED PARTY 371,476 3,327,109 3,327,109
    DUE FROM CONTEMPORARY HEALTHCARE FUND 0 37,384 37,384
    INTEREST RECEIVABLE 25,874 43,916 43,916
    PAINTINGS 62,650 62,650 62,650
    SECURITY DEPOSIT 1,000 1,000 1,000


    TY 2021 OtherDecreasesSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Description Amount
    NET UNREALIZED LOSSES ON INVESTMENTS 7,751,761


    TY 2021 OtherExpensesSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INSURANCE 8,901 2,937   5,964
    TECHNOLOGY 5,668 1,870   3,861
    GIFTS AND PROMOTIONS 2,313 763   1,550
    BANK CHARGES 3,069 1,013   2,056
    OFFICE EXPENSE 3,153 1,040   2,113
    LICENSES & FEES 1,253 413   840


    TY 2021 OtherIncomeSchedule2
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    CONTEMPORARY HEALTHCARE FUND 64,000 108,165 64,000
    ROYALTY INCOME 1,710 1,710 1,710
    MISCELLANEOUS INCOME 57 57 57
    FTB REFUND 10   10


    TY 2021 OtherIncreasesSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Description Amount
    BALANCE SHEET ADJUSTMENT FOR COST TO FMV 29,238,060
    PRIOR PERIOD ADJUSTMENT 775,020
    GRANTS RETURNED 29,932


    TY 2021 OtherLiabilitiesSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Description Beginning of Year - Book Value End of Year - Book Value
    DEFERRED GAIN - INSTALLMENT SALE 16,998,332 0
    DUE TO RELATED PARTY 0 1,080,000
    SECURITY DEPOSIT - VISTA COVE 300,000 300,000
    REPLACEMENT FUND RESERVE 12,229 0
    DEFERRED TAX LIABILITY 0 149,657


    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2021 OtherNotesLoansRcvblLongSch
    Name:
    VERSACARE INC
    EIN:
    33-0052434

    Borrower's Name Relationship to Insider Original Amount of Loan Balance Due Date of Note Maturity Date Repayment Terms Interest Rate Security Provided by Borrower Purpose of Loan Description of Lender Consideration Consideration FMV
    CORONA COMMUNITY VILLAS INC SUBSIDIARY OF VERSACARE INC. 17,338,500 17,338,500 2020-10 2043-10 INTEREST DUE MONTHLY & PRINCIPAL PAYMENTS COMMENCING IN NOVEMBER 2023 650.0000000000 % COLLATERALIZED BY DEED OF TRUST ENCUMBERED BY REAL PROPERTY PURCHASE OF SENIOR CARE CENTER FOR EXEMPT PURPOSES N/A 17,338,500

    TY 2021 OtherProfessionalFeesSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISORY FEES 224,715 224,715   0
    GRANT MANAGEMENT 48,149 0   47,558
    PAYROLL SERVICES 2,124 701   1,423


    TY 2021 TaxesSchedule
    Name:
    VERSACARE INC
    EIN:
    33-0052434
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SECTION 4940 EXCISE TAX 165,470 0   0
    FOREIGN TAXES 11,720 11,720   0
    STATE TAXES PAID 400 0   400