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)
![]() |
(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.") . | 114,637 | 2,739,294 | 533,048 | 10,244 | 1,170,507 | 4,567,730 |
| 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 | 20,146,773 | 18,675,942 | 19,916,278 | 20,294,205 | 19,357,759 | 98,390,957 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 39,368 | 46,618 | 134,144 | 127,593 | 347,723 | |
| 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 | 20,300,778 | 21,461,854 | 20,449,326 | 20,438,593 | 20,655,859 | 103,306,410 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 97,346 | 97,346 | ||||
| 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.. | 97,346 | 97,346 | ||||
| 8 | Public support. (Subtract line 7c from line 6.) | 103,209,064 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 20,300,778 | 21,461,854 | 20,449,326 | 20,438,593 | 20,655,859 | 103,306,410 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 425,365 | 396,308 | 392,780 | 23,712 | 284,029 | 1,522,194 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 425,365 | 396,308 | 392,780 | 23,712 | 284,029 | 1,522,194 |
| 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.) .. | 306,432 | 125,671 | 129,029 | 38,443 | 47,392 | 646,967 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 21,032,575 | 21,983,833 | 20,971,135 | 20,500,748 | 20,987,280 | 105,475,571 |
| 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 |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS - 2019 AMOUNT: $ 7,020. 2022 AMOUNT: $ 13,782. 2023 AMOUNT: $ 17,410. MEAL REVENUE - 2019 AMOUNT: $ 100,833. 2020 AMOUNT: $ 10,892. 2021 AMOUNT: $ 14,444. SALON SERVICES - 2019 AMOUNT: $ 87,093. 2020 AMOUNT: $ 54,341. 2021 AMOUNT: $ 64,521. GARAGE FEES - 2019 AMOUNT: $ 33,872. 2020 AMOUNT: $ 34,261. 2021 AMOUNT: $ 35,203. LAUNDRY INCOME - 2019 AMOUNT: $ 14,094. 2020 AMOUNT: $ 12,942. 2021 AMOUNT: $ 9,990. PERSONAL SERVICE ATTENDANT - 2019 AMOUNT: $ 60. 2020 AMOUNT: $ 700. 2021 AMOUNT: $ 3,911. GUEST SUITE INCOME - 2019 AMOUNT: $ 63,460. 2020 AMOUNT: $ 12,535. 2021 AMOUNT: $ 960. INSURANCE PROCEEDS - 2022 AMOUNT: $ 24,661. INSURANCE CAPTIVE DIVIDEND - 2023 AMOUNT: $ 29,982. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION DELEGATED MANAGEMENT DUTIES TO LINDSEY MANAGEMENT SERVICES, A RELATED 501(C)(3) ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S SOLE MEMBER IS LINDSEY COMMUNITIES, INC., AN ILLINOIS NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501 (C)(3) OF THE CODE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER HOLDS THE FOLLOWING EXCLUSIVE POWERS RELATED TO THE ORGANIZATION'S BOARD OF DIRECTORS: APPOINT THE ORGANIZATION'S BOARD AND REMOVE ANY DIRECTOR OR DIRECTORS, WITH OR WITHOUT CAUSE; FILL ANY DIRECTOR VACANCIES ON THE BOARD; DETERMINE AND AMEND THE NUMBER OF DIRECTORS TO SERVE ON THE BOARD; ELECT, RE-ELECT, APPOINT AND REMOVE ALL OFFICERS OF THE CORPORATION AND/OR APPROVE THE ELECTION, RE-ELECTION, APPOINTMENT AND REMOVAL OF ALL OFFICERS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER GENERALLY OVERSEES THE AFFIARS OF THE ORGANIZATION AND ENSURES THAT ALL ACTIONS OF THE ORGANIZATION ARE CONSISTENT WITH ITS EXEMPT PURPOSES. THE SOLE MEMBER HOLDS THE FOLLOWING EXCLUSIVE POWERS: ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE ORGANIZATION; ADOPT OR AMEND THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE ORGANIZATION; APPOINT THE ORGANIZATION'S BOARD AND REMOVE ANY DIRECTOR OR DIRECTORS, WITH OR WITHOUT CAUSE; FILL ANY DIRECTOR VACANCIES ON THE BOARD; DETERMINE AND AMEND THE NUMBER OF DIRECTORS TO SERVE ON THE BOARD; ELECT, RE-ELECT, APPOINT AND REMOVE ALL OFFICERS OF THE ORGANIZATION AND/OR APPROVE THE ELECTION, RE-ELECTION, APPOINTMENT AND REMOVAL OF ALL OFFICERS OF THE ORGANIZATION; APPOINT, REVIEW AND REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER; APPOINT, REVIEW AND REMOVE, WITH OR WITHOUT CAUSE, THE MANAGEMENT COMPANY; PAY PENSIONS AND ESTABLISH AND CARRY OUT PENSION, RETIREMENT, BENEFIT, INCENTIVE AND COMPENSATION PLANS, TRUSTS AND PROVISIONS FOR ANY OR ALL OF ITS EMPLOYEES; ESTABLISH A CORPORATE SPENDING LIMIT; REJECT ANY BUDGET APPROVED BY THE ORGANIZATION; APPROVE THE INCURRENT OF DEBT OR CAPITAL EXPENDITURE BY THE ORGANIZATION IN EXCESS OF $100,000 WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS, IF SUCH DEBT OR CAPITAL EXPENDITURE IS NOT INCLUDED IN THE ORGANIZATION'S APPROVED BUDGETS; INITIATE AND APPROVE INVESTMENT POLICIES AND STRATEGIC PLANS OF THE ORGANIZATION; AUTHORIZE OR ADOPT A PLAN OF MERGER, CONSOLIDATION, CORPORATE REORGANIZATION, OR THE CREATION OR DISSOLUTION OF A NEW SUBSIDIARY OR AFFILIATE; AUTHORIZE DISSOLUTION, DIVISION OR LIQUIDATION OF THE ORGANIZATION; AUTHORIZE THE LEASE, SALE, EXCHANGE, TRANSFER OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS; SELECT AND APPOINT THE BANKS, ACCOUNTANTS, AUDITORS AND LEGAL COUNSEL OF THE ORGANIZATION. THE SOLE MEMBER ALSO HOLDS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE ORGANIZATION: PURCHASES, SALES AND LEASES OF PROPERTY BY THE ORGANIZATION IN EXCESS OF ANY CORPORATE SPENDING LIMIT ESTABLISHED BY THE MEMBER; BORROWING BY THE ORGANIZATION IN A PRINCIPAL AMOUNT IN EXCESS OF ANY CORPORATE SPENDING LIMIT ESTABLISHED BY THE MEMBER, OR FOR A STATED TERM IN EXCESS OF ONE YEAR OR WHICH IS SECURED BY A MORTGAGE OF REAL PROPERTY; ANY MAJOR CHANGE IN THE PROGRAMS OR SERVICES PROVIDED BY THE ORGANIZATION, INCLUDING ANY CREATION OF NEW PROGRAMS OR SERVICES OR THE DISCONTINUATION OF EXISTING PROGRAMS OR SERVICES; ANY MAJOR AGREEMENT OR TRANSACTION WITH ANOTHER AFFILIATE OF THE MEMBER; ACCEPTANCE OF A CONTRIBUTION THAT IMPOSES A MATERIAL OBLIGATION ON THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD DIRECTS THAT AT LEAST ONE BOARD MEMBER, WHO SERVES ON THE FINANCE COMMITTEE, CONDUCT THE ANNUAL REVIEW OF THE FORM 990 AND PRESENT IT TO THE FULL BOARD PRIOR TO BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD DIRECTS THAT OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR PREPARING QUARTERLY REPORTS TO THE BOARD FINANCE COMMITTEE THAT DISCLOSES ACTUAL, POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST. IN THE EVENT THAT A CONFLICT EXISTS, THE PERSON IS REQUIRED TO RECUSE HIMSELF OR HERSELF FROM PARTICIPATING IN THE DECISION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGAINZATION DOES NOT COMPENSATE THE ORGANIZATION'S CEO OR CFO. HOWEVER, A RELATED ENTITY WHO COMPENSATES THESE INDIVIDUALS USES THE FOLLOWING PROCESS: THE BOARD DIRECTS THAT THE PERSONNEL & POLICY COMMITTEE (P&PC) CONDUCT THE PRESIDENT'S ANNUAL PERFORMANCE REVIEW AND DEVELOP SALARY AND COMPENSATION RECOMMENDATIONS FOR FULL BOARD APPROVAL. A COMPARATIVE ANALYSIS OF THE PRESIDENT'S ANNUAL COMPENSATION IS REVIEWED BY THE P&PC USING SOURCES SUCH AS INDEPENDENT SALARY SURVEYS, REVIEW OF FORM 990S AND OTHER INFORMATION AS IT IS AVAILABLE. TO ENSURE THE INDEPENDENCE AND OBJECTIVITY OF THE COMPARATIVE REVIEW, THE DATA AND ANALYSIS IS PREPARED BY SOMEONE OTHER THAN THE PRESIDENT. IN REGARDS TO OTHER OFFICERS AND KEY EMPLOYEES, THE PRESIDENT PERFORMS A SIMILAR PROCESS USING INDEPENDENT SALARY SURVEY DATA TO DETERMINE COMPENSATION. THESE PROCESSES WERE LAST UNDERTAKEN IN 2023. |
| FORM 990, PART VI, SECTION C, LINE 19 | CLARK-LINDSEY VILLAGE, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. |
| FORM 990, PART IX, LINE 11G | NURSING CONSULTANTS: PROGRAM SERVICE EXPENSES 20,587. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,587. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,103,753. MANAGEMENT AND GENERAL EXPENSES 624,173. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,727,926. DIETARY: PROGRAM SERVICE EXPENSES 121,495. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 121,495. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER -162,638. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS FOR REVIEW AND OVERSIGHT OF THE AUDIT PROCESS IS CONSISTENT WITH PRIOR YEARS. |
| Software ID: | |
| Software Version: |