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ObjectId: 201423219349306527 - Submission: 2014-11-17
TIN: 04-3536564
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
See separate instructions.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
13
Open to Public Inspection
Name of the organization
D'YOUVILLE ELDERLY HOUSING CORPORATION
Employer identification number
04-3536564
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
D'YOUVILLE SENIOR CARE INC
981 VARNUM AVENUE
LOWELL
,
MA
01854
04-2510563
SENIOR CARE
MA
501(C)(3)
LINE 9
SISTERS OF CHARITY OF OTTAWA
No
(2)
D'YOUVILLE SENIOR CARE FOUNDATION INC
981 VARNUM AVENUE
LOWELL
,
MA
01854
91-2055004
FUNDRAISING
MA
501(C)(3)
LINE 11A, I
SISTERS OF CHARITY OF OTTAWA
No
(3)
D'YOUVILLE SENIOR LIVING INC
979 VARNUM AVENUE
LOWELL
,
MA
01854
20-0837361
LOW-INCOME SENIOR HOUSING
MA
501(C)(3)
LINE 9
D'YOUVILLE SENIOR CARE INC
No
(4)
D'YOUVILLE TRANSITIONAL CARE UNIT INC
1071 VARNUM AVENUE
LOWELL
,
MA
01854
27-1680453
SHORT-TERM REHAB
MA
501(C)(3)
LINE 9
SISTERS OF CHARITY OF OTTAWA
No
(5)
D'YOUVILLE LEADERSHIP SOLUTIONS INC
981 VARNUM AVENUE
LOWELL
,
MA
01854
27-4675543
MANAGEMENT COMPANY
MA
501(C)(3)
LINE 11B, II
SISTERS OF CHARITY OF OTTAWA
No
(6)
D'YOUVILLE LIFE & WELLNESS COMMUNITY INC
981 VARNUM AVENUE
LOWELL
,
MA
01854
27-4675379
SENIOR CARE
MA
501(C)(3)
LINE 11B, II
SISTERS OF CHARITY OF OTTAWA
No
(7)
SISTERS OF CHARITY OF OTTAWA
559 FLETCHER STREET
LOWELL
,
MA
01854
04-2127030
SPECIAL SCHOOL FOR BLIND, HANDICAPPED, ETC., HOSPITAL, PUBLISH ACTIVITY
MA
501(C)(3)
LINE 1
N/A
No
(8)
PLANNING OFFICE FOR URBAN AFFAIRS INC
84 STATE STREET 600
BOSTON
,
MA
02109
23-7089722
DEVELOP LOW/MODERATE INCOME HOUSING FOR FAMILIES AND ELDERLY PERSONS
MA
501(C)(3)
LINE 9
N/A
No
(9)
ROMAN CATHOLIC ARCHDIOCESE OF BOSTON
2121 COMMONWEALTH AVENUE
BRIGHTON
,
MA
02135
RELIGIOUS
MA
501(C)(3)
LINE 1
ROMAN CATHOLIC CHURCH
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Page 2
Schedule R (Form 990) 2013
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
KENT VILLAGE ASSOCIATES LP
84 STATE STREET
BOSTON
,
MA
02109
04-2863561
LOW INCOME HOUSING
MA
N/A
(2)
LOWELL SQUARE ASSOCIATES JV
84 STATE STREET
BOSTON
,
MA
02109
LOW INCOME HOUSING
MA
N/A
(3)
40 URBAN ST LLC
84 STATE STREET
BOSTON
,
MA
02109
LOW INCOME HOUSING
MA
N/A
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
Schedule R (Form 990) 2013
Page 3
Schedule R (Form 990) 2013
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
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1a
No
b
Gift, grant, or capital contribution to related organization(s)
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1b
No
c
Gift, grant, or capital contribution from related organization(s)
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1c
No
d
Loans or loan guarantees to or for related organization(s)
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1d
No
e
Loans or loan guarantees by related organization(s)
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1e
Yes
f
Dividends from related organization(s)
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1f
No
g
Sale of assets to related organization(s)
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1g
No
h
Purchase of assets from related organization(s)
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1h
No
i
Exchange of assets with related organization(s)
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1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
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1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
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1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
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1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
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1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
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1n
No
o
Sharing of paid employees with related organization(s)
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1o
Yes
p
Reimbursement paid to related organization(s) for expenses
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1p
Yes
q
Reimbursement paid by related organization(s) for expenses
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1q
No
r
Other transfer of cash or property to related organization(s)
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1r
No
s
Other transfer of cash or property from related organization(s)
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1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2013
Page 4
Schedule R (Form 990) 2013
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2013
Page 5
Schedule R (Form 990) 2013
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2013
Additional Data
Software ID:
Software Version: