efile Public Visual Render
ObjectId: 202120639349300032 - Submission: 2021-03-04
TIN: 38-3243846
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.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
19
Open to Public Inspection
Name of the organization
PORTER HILLS FOUNDATION
Employer identification number
38-3243846
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)
PORTER HILLS PRESBYTERIAN VILLAGE
4450 CASCADE ROAD
GRAND RAPIDS
,
MI
49546
38-6141735
RETIREMENT COMMUNITY
MI
501(C)(3)
LINE 10
UNITED METHODIST RETIREMENT COMMUNITIES INC
Yes
(2)
MEADOWLARK RETIREMENT HOME
4450 CASCADE ROAD
GRAND RAPIDS
,
MI
49546
38-3373281
RETIREMENT COMMUNITY
MI
501(C)(3)
LINE 10
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(3)
WALKER MEADOW RETIREMENT COMMUNITY INC
1101 WILSON AVE
WALKER
,
MI
49534
38-3283760
RETIREMENT COMMUNITY
MI
501(C)(3)
LINE 7
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(4)
SENORA WOODS RETIREMENT COMMUNITY INC
3781 GIDDINGS AVE
GRAND RAPIDS
,
MI
49508
38-3382610
RETIREMENT COMMUNITY
MI
501(C)(3)
LINE 7
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(5)
SPARTA RETIREMENT COMMUNITY INC
100 IDA ROAD
SPARTA
,
MI
49345
38-3445251
RETIREMENT COMMUNITY
MI
501(C)(3)
LINE 7
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(6)
RIVER GROVE RETIREMENT COMMUNITY INC
5761 JUPITER AVE
BELMONT
,
MI
49306
38-3519530
RETIREMENT COMMUNITY
MI
501(C)(3)
LINE 7
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(7)
BAILEYS GROVE RETIREMENT COMMUNITY INC
5252 BAILEYS CENTER DRIVE SE
KENTWOOD
,
MI
49512
38-3643825
RETIREMENT COMMUNITY
MI
501(C)(3)
LINE 7
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(8)
STATION CREEK RETIREMENT COMMUNITY
10010 CROSSROAD COURT SE
CALEDONIA
,
MI
49316
20-0771871
RETIREMENT COMMUNITY
MI
501(C)(3)
LINE 7
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(9)
LIFE CIRCLES
560 SEMINOLE ROAD
MUSKEGON
,
MI
49444
26-0170498
PACE PROGRAM
MI
501(C)(3)
LINE 10
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(10)
UMRCPH INC
805 W MIDDLE ST
CHELSEA
,
MI
48118
38-3358620
PRIVATE DUTY COMPANY
MI
501(C)(3)
LINE 10
UNITED METHODIST RETIREMENT COMMUNITIES INC
Yes
(11)
PORTER HILLS AT HOME
4450 CASCADE ROAD
GRAND RAPIDS
,
MI
49546
45-3469541
HOME CARE
MI
501(C)(3)
LINE 10
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(12)
PORTER HILLS HOME HEALTH WEST
4450 CASCADE ROAD SE STE 200
GRAND RAPIDS
,
MI
49546
38-3384372
CERTIFIED HOME HEALTH
MI
501(C)(3)
LINE 10
PORTER HILLS PRESBYTERIAN VILLAGE
Yes
(13)
UNITED METHODIST RETIREMENT COMMUNITIES INC
805 W MIDDLE ST
CHELSEA
,
MI
48118
38-1366908
RETIREMENT COMMUNITY
MI
501(C)(3)
LINE 10
N/A
No
(14)
UMRC FOUNDATION
805 W MIDDLE ST
CHELSEA
,
MI
48118
38-3443089
SUPPORTING ORGANIZATION WITH PUBLIC CHARITY STATUS
MI
501(C)(3)
LINE 7
UNITED METHODIST RETIREMENT COMMUNITIES INC
Yes
(15)
THE WASHTENAW PACE INC
2940 ELLSWORTH ROAD
YPSILANTI
,
MI
48197
27-5067787
PACE PROGRAM
MI
501(C)(3)
LINE 10
UNITED METHODIST RETIREMENT COMMUNITIES INC
Yes
(16)
THE CASCADE PACE INC
2282 SPRINGPORT ROAD
JACKSON
,
MI
49202
46-5362872
PACE PROGRAM
MI
501(C)(3)
LINE 10
UNITED METHODIST RETIREMENT COMMUNITIES INC
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Page 2
Schedule R (Form 990) 2019
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
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)
UMRC DETRIOT AAL INC
805 W MIDDLE ST
CHELSEA
,
MI
48118
27-4331985
GEN PARTNER
MI
N/A
C
No
Schedule R (Form 990) 2019
Page 3
Schedule R (Form 990) 2019
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
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
Yes
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
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) 2019
Page 4
Schedule R (Form 990) 2019
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) 2019
Page 5
Schedule R (Form 990) 2019
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) 2019
Additional Data
Software ID:
Software Version: