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ObjectId: 201443189349303459 - Submission: 2014-11-14
TIN: 31-0554071
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
Episcopal Retirement Homes Inc
Employer identification number
31-0554071
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
(1)
ERH Development LLC
3870 Virginia Ave
Cincinnati
,
OH
45227
27-5489338
Invest in, own and operate services/housing for elders.
OH
708,174
3,627,901
Episcopal Retirement Homes Inc
(2)
ERH Affordable Living LLC
3870 Virginia Ave
Cincinnati
,
OH
45227
45-5531364
Affordable Housing Manager, Developer and Owner
OH
6,209,285
57,152,656
Episcopal Retirement Homes Inc
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)
Canterbury Court Inc
3870 Virginia Ave
Cincinnati
,
OH
45227
20-1750198
General Partner of Limited Partnership
OH
501c3
9
N/A
No
(2)
Cambridge Heights Inc
3870 Virginia Avenue
Cincinnati
,
OH
45227
20-8007307
General Partner of Limited Partnership
OH
501c3
9
N/A
No
(3)
St Paul Village 1 Inc
3870 Virginia Avenue
Cincinnati
,
OH
45227
11-3763686
General Partner of Limited Partnership
OH
501c3
9
N/A
No
(4)
Episcopal Retirement Homes Foundation
3870 Virginia Avenue
Cincinnati
,
OH
45227
31-1570272
Receipt of charitable gifts, their investment & distribution
OH
501c3
9
N/A
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)
Canterbury Court Limited Partnership
450 N Elm St
West Carrollton
,
OH
45449
33-1166690
Own housing
OH
CCT Inc
No
Yes
0.100 %
(2)
Cambridge Heights Apartments LP
1525 Elm St
Cambridge
,
OH
43725
26-2481170
Own housing
OH
CHA Inc
No
Yes
0.100 %
(3)
St Paul Village I LP
5515 Madison Road
Cincinnati
,
OH
45227
27-1225466
Own housing
OH
SPV1 Inc
No
Yes
0.100 %
(4)
Black Stone of Central Ohio LLC
3055 Kettering Blvd Ste 111
Dayton
,
OH
454391949
27-1746397
Home Care Health Services
OH
N/A
No
No
4.000 %
(5)
Black Stone of Cincinnati LLC
3055 Kettering Blvd Ste 111
Dayton
,
OH
45439
27-4109221
Home Care Health Services
OH
N/A
No
No
6.000 %
(6)
Black Stone of Dayton LLC
3055 Kettering Blvd Ste 111
Dayton
,
OH
454391949
27-4109305
Home Care Health Services
OH
N/A
No
No
4.000 %
(7)
Black Stone of Cincinnati LLC
3055 Kettering Blvd Ste 111
Dayton
,
OH
45439
27-5489338
Home Care Health Services
OH
N/A
No
No
6.000 %
(8)
St Paul Village II LP
5515 Madison Road
Cincinnati
,
OH
45227
45-2049065
Own Housing
OH
SPV I Inc
No
Yes
0.100 %
(9)
Shawnee Place Limited Partnership
102 E Main St
Springfield
,
OH
45502
20-8401695
Own Housing
OH
Shawnee Revitalizati
No
Yes
0.100 %
(10)
Forest Square Apartments Limited Partner
3511 Harvey
Cincinnati
,
OH
45229
26-3011655
Own Housing
OH
Forest Square Associ
No
Yes
0.100 %
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
(1)
Woodburn Pointe LLC
3870 Virginia Ave
Cincinnati
,
OH
45227
27-3022404
General Partner of LP
OH
Woodburn Pointe Asso
C
-1,825
0.100 %
No
(2)
Elberon Senior Apartments LLC
3870 Virginia Ave
Cincinnati
,
OH
45227
27-2873041
Own Housing
OH
Elberon Associates
C
-4,250
0.100 %
No
(3)
Forest Square Associates LLC
3870 Virginia Ave
Cincinnati
,
OH
45227
26-3011613
General Partner of LP
OH
ERH AL Inc
C
-154
0.100 %
No
(4)
Shawnee Revitalization Association LLC
102 E Main St
Springfield
,
OH
45502
20-8401234
General Partner of LP
OH
ERH AL Inc
C
-429
0.100 %
No
(5)
Woodburn Pointe Associates LLC
3870 Virginia Ave
Cincinnati
,
OH
45227
27-4255752
General Partner of LP
OH
ERH AL Inc
C
No
(6)
Elberon Associates LLC
3870 Virginia Ave
Cincinnati
,
OH
45227
27-2872934
General Partner of LP
OH
ERH AL Inc
C
No
(7)
ERH AL Inc
3870 Virginia Ave
Cincinnati
,
OH
45227
80-0872042
Member of GP
OH
N/A
C
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
No
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
No
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
No
p
Reimbursement paid to related organization(s) for expenses
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1p
No
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:
13000170
Software Version:
2013v3.1