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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 62,197 | 104,819 | 317,091 | 343,963 | 177,822 | 1,005,892 |
| 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 | 8,308,107 | 8,311,707 | 8,845,915 | 9,930,048 | 10,088,672 | 45,484,449 |
| 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 | 8,370,304 | 8,416,526 | 9,163,006 | 10,274,011 | 10,266,494 | 46,490,341 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| 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. | 50,243 | 106,571 | 57,803 | 40,063 | 43,054 | 297,734 |
| c | Add lines 7a and 7b.. | 50,243 | 106,571 | 57,803 | 40,063 | 43,054 | 297,734 |
| 8 | Public support. (Subtract line 7c from line 6.) | 46,192,607 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 8,370,304 | 8,416,526 | 9,163,006 | 10,274,011 | 10,266,494 | 46,490,341 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 443,111 | 394,750 | 1,241,814 | 518,438 | 434,576 | 3,032,689 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 443,111 | 394,750 | 1,241,814 | 518,438 | 434,576 | 3,032,689 |
| 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.).. | 8,813,415 | 8,811,276 | 10,404,820 | 10,792,449 | 10,701,070 | 49,523,030 |
| 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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990 - ORGANIZATION'S MISSION | SILVER MAPLES OF CHELSEA RETIREMENT NEIGHBORHOOD IS A VIBRANT COMMUNITY THAT EXCELS AT CREATING AND SUPPORT A POSITIVE AGING EXPERIENCE. SILVER MAPLES OF CHELSEA WILL PROMOTE ENRICHING EXPERIENCES TO INSPIRE PERSONAL GROWTH, CREATE OPPORTUNITIES TO DEVELOP MEANINGFUL RELATIONSHIPS AMONG FRIENDS, FAMILY AND COMMUNITY AND PROVIDE A HEALTHY, SECURE AND SUPPORTIVE PLACE TO CALL HOME. OUR MISSION AND VISION IS CLEARLY ALIGNED WITH OUR PARTNERS, THE 5 HEALTHY TOWNS ORGANIZATION AND SILVER MAPLES, INC. THE MISSION OF THE 5 HEALTHY TOWNS IS TO CULTIVATE IMPROVEMENTS IN PERSONAL AND COMMUNITY WELLNESS. |
| FORM 990, PAGE 2, PART III, LINE 4A | SILVER MAPLES OF CHELSEA PROVIDES SENIOR CARE SERVICES, WELLNESS ACTIVITIES AND AMENITIES FOR RESIDENT STYLE INDEPENDENT LIVING HOUSING AND LICENSED ASSISTED LIVING ACCOMMODATIONS. THE MEADOWS ASSISTED LIVING OFFERS APARTMENTS FOR COUPLES AND INDIVIDUALS WHO VALUE THE INDEPENDENCE OF HOME AND THE CONVENIENCE OF ON-SITE LICENSED CARE. RESIDENTS RECEIVE THREE NUTRITIOUS MEALS EVERY DAY, SERVED IN MULTIPLE DINING VENUES. THERE ARE 4 LEVELS OF ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, WEEKLY HOUSEKEEPING AND LAUNDRY AND WELL-BALANCED AND DYNAMIC EVENT AND ACTIVITY PROGRAMMING. RESIDENTIAL INDEPENDENT LIVING CONDO STYLE HOMES AND APARTMENTS ARE PROVIDED FOR INDIVIDUALS AND COUPLES WHO VALUE COMFORT, CONVENIENCE AND COMMUNITY. SEVERAL DISTINCTIVE OPTIONS ARE AVAILABLE, WITH AMENITIES SUCH AS 10 TO 20 MEALS PER MONTH, UTILITIES, 24-HOUR IN-HOUSE CALL SYSTEMS, MAINTENANCE SERVICES, LOCAL TRANSPORTATION AND A MULTI-FACETED EVENT AND ACTIVITY PROGRAM WITH AN EMPHASIS ON OVERALL WELLNESS. THE SILVER LINING FUND IS A PROGRAM CONCEIVED BY AND FOR RESIDENTS OF SILVER MAPLES TO PROVIDE FINANCIAL ASSISTANCE TO ANY RESIDENT WHO OUTLIVES HIS OR HER FINANCIAL ASSETS, ENSURING THEY ALWAYS HAVE A HOME AT SILVER MAPLES. EACH DONATION TO THE SILVER LINING FUND HAS A DIRECT IMPACT ON AN INDIVIDUAL IN NEED. IN ADDITION TO PROVIDING EVENTS AND RESOURCES FOR OUR RESIDENTS, SILVER MAPLES SUPPORTS THE LOCAL COMMUNITY. SILVER MAPLES IS A VERY ACTIVE MEMBER OF THE CHELSEA COMMUNITY AND A MEMBER OF BOTH THE CHELSEA AREA CHAMBER OF COMMERCE AND THE DEXTER AREA CHAMBER OF COMMERCE. SILVER MAPLES SPONSORS AND PARTICIPATES IN MANY LOCATION GROUPS, EVENTS AND ORGANIZATIONS, INCLUDING: ALZHEIMER'S ASSOCIATION, SOUNDS & SIGHTS, THE CHELSEA SENIOR CENTER, THE CHELSEA ROTARY CLUB, TO NAME A FEW. SILVER MAPLES HOSTS SEVERAL CHELSEA ARTIST GUILD AND ANN ARBOR ARTIST GUILD ART DISPLAYS, AS WELL AS MANY CHELSEA ROTARY CLUB AND CHELSEA CHAMBER EVENTS. RESIDENTS AND STAFF OF SILVER MAPLES ARE MEMBERS OF SERVICE ORGANIZATIONS, THE CHELSEA GARDEN CLUB, THE FARM TO TABLE EVENT IN CHELSEA, THE CHELSEA SENIOR CENTER, AND THE CHELSEA ARTISTS GUILD. SEVERAL RESIDENTS ALSO PARTICIPATE IN THE EMERSON SCHOOL MENTORSHIP PROGRAM AND SERVE AS READERS FOR NORTH CREEK ELEMENTARY SCHOOL. THE PRESIDENT AND CEO OF SILVER MAPLES IS AN ACTIVE MEMBER OF THE ROTARY CLUB OF CHELSEA AND SERVES ON THE BOARD OF THE CHELSEA AREA CHAMBER OF COMMERCE, THE CHELSEA HOSPITAL, AND THE CHELSEA SENIOR CENTER. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE ORGANIZATION WAS FORMED BY TWO MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS SHALL CONSIST OF SEVEN (7) DIRECTORS. FOUR DIRECTORS OF THE CORPORATION WILL ALSO BE DIRECTORS OF SILVER MAPLES, INC. (A)THE PRESIDENT AND CEO (OR OFFICE OF COMPARABLE RANK AND RESPONSIBILITY) OF THE CORPORATION SHALL BE AN EX-OFFICIO MEMBER OF THE BOARD AND SHALL SERVE AS A NON-VOTING DIRECTOR DURING SUCH PERSON'S TIME IN OFFICE. THE PRESIDENT AND CEO OF THE CORPORATION WILL ALSO BE APPOINTED PRESIDENT AND CEO OF SILVER MAPLES, INC. (B)EACH MEMBER SHALL APPOINT THREE (3) ADDITIONAL DIRECTORS; PROVIDED, PERSONS APPOINTED AS DIRECTORS MEET THE RESPECTIVE MEMBER ORGANIZATION'S CRITERIA, AND MUST ALSO SERVE ON THE BOARD OF DIRECTORS OF THEIR RESPECTIVE MEMBER ORGANIZATIONS. (C)DIRECTORS MAY NOT BE EMPLOYEES OR BOARD MEMBERS OF ANY ORGANIZATION THAT OPERATES SENIOR LIVING SERVICES OR COMMUNITIES OTHER THAN THE CORPORATION, OR THE MEMBERS. ANY EXCEPTION TO THIS PROVISION MUST BE APPROVED BY BOTH MEMBER ORGANIZATIONS. (D)DIRECTORS, OTHER THAN EX-OFFICIO DIRECTORS, SHALL SERVE UP TO THREE TWO (2) YEAR TERMS OR UNTIL THEIR SUCCESSORS ARE ELECTED AND QUALIFIED, NOT TO EXCEED A TOTAL OF SIX CONSECUTIVE YEARS OF SERVICE, EXCLUSIVE OF PERIODS SERVED AS AN EX-OFFICIO DIRECTOR. A CEO OR EQUIVALENT OFFICER OF A MEMBER WHO IS APPOINTED BY THE MEMBER AS ONE OF ITS THREE (3) DIRECTOR APPOINTEES SHALL BE DEEMED AN EX-OFFICIO DIRECTOR. (E)EACH MEMBER ORGANIZATION MAY ELECT TO EXTEND THE TERM OF ONE DIRECTOR FROM THAT MEMBER ORGANIZATION FOR A FOURTH TWO (2) YEAR TERM, WHICH MAY BE SERVED CONSECUTIVELY WITH THE ALLOWED THREE TERMS. (F)NO MORE THAN ONE-THIRD OF THE DIRECTORS MAY HAVE AN IMMEDIATE FAMILY MEMBER RESIDING AT SILVER MAPLES. "IMMEDIATE FAMILY MEMBER" IS DEFINED AS GRANDPARENT, PARENT, PARENT-IN-LAW, STEPPARENT, SIBLING, SPOUSE, CHILD OR STEPCHILD. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE CORPORATE BY-LAWS RESERVE SPECIFIC POWERS TO THE MEMBERS THAT ARE NOT DELEGATED TO THE BOARD OF DIRECTORS AND INCLUDE: APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS FOR THE CORPORATION; APPROVAL OF THE SELECTION AND REMOVAL OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION; ELECTION OF DIRECTORS; APPROVAL OF ANY BORROWING; APPROVAL OF ANY AND ALL AMENDMENTS OR ALTERATIONS OF THE BYLAWS OR ARTICLES OF INCORPORATION; APPROVAL OF ANY PLANS OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; APPROVAL OF THE FORMATION OR ACQUISITION OF NEW SUBSIDIARIES OF THE CORPORATION OR THE SALE OR OTHER DISPOSITION OF EXISTING SUBSIDIARIES; AND APPROVAL OF THE SALE, LEASE, MORTGAGE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OWNED, HELD, OR LEASED BY OR TO THE CORPORATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF FORM 990 IS SENT TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO THE FILING OF THE FORM. THE CEO OF THE CORPORATION AND DIRECTOR OF FINANCE ARE AVAILABLE TO ANSWER QUESTIONS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST FORMS ARE REQUIRED TO BE COMPLETED AND SUBMITTTED ANNUALLY BY ALL BOARD MEMBERS. THESE FORMS ARE THEN REVIEWED AND ANY CHANGES ARE MONITORED BY THE BOARD AND MANAGEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE ORGANIZATION OBTAINS DATA FROM SIMILAR ORGANIZATIONS TO COMPARE COMPENSATION FOR THE PRESIDENT/CEO. THE BOARD USES THIS INFORMATION AND VOTES ON AN ANNUAL BASIS. THE PRESIDENT, WHO NORMALLY HAS A VOTE, DOES NOT VOTE ON HIS/HER OWN COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | FINANCIAL STATEMENTS AND FORM 990 ARE FURNISHED UPON WRITTEN REQUEST. THE CHAIRPERSONS FOR THE ORGANIZATION'S INDEPENDENT LIVING AND ASSISTED LIVING ATTEND ALL BOARD MEETINGS AND ARE SUPPLIED WITH ALL INFORMATION ON THE AGENDA. |
| FORM 990, PART XI, LINE 9 | INTEREST RATE SWAP GAIN 0 INTEREST RATE SWAP LOSS -48,027 SPONSOR DISTRIBUTION -6,000,000 TOTAL -6,048,027 |
| Software ID: | |
| Software Version: |