| FORM 990, PART III, LINE 1 |
ORGANIZATION'S MISSION: THE MISSION OF LACOBA IS TO ENABLE RESIDENTS TO RECOGNIZE AND ACHIEVE THEIR HIGHEST POTENTIAL ABILITY AFTER THE ONSET OF A DISABLING DISEASE OR THE NATURAL AGING PROCESS. LACOBA STRIVES TO PROVIDE RESIDENTS WITH A SAFE, COMFORTABLE, AND PLEASANT LIVING ENVIRONMENT THAT ENCOURAGES INDEPENDENCE AND PROMOTES QUALITY OF LIFE. |
| FORM 990, PART VI, SECTION A, LINE 6 & 7A |
MEMBERS: THE ORGANIZATION HAS MEMBERS WHO MEET ANNUALLY FOR THE PURPOSE OF ELECTING DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B |
FORM 990 PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE EXECUTIVE DIRECTOR THOROUGHLY REVIEWS THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. THE BOARD OF DIRECTORS IS ALSO PROVIDED WITH A FULL COPY OF THE FORM 990 BEFORE THE RETURN IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C |
CONFLICT OF INTEREST POLICY COMPLIANCE: BIDS ARE INTERNALLY TESTED FOR ANY CONFLICT OF INTEREST WITH CURRENT BOARD MEMBERS. THE GOVERNING BOARD IS AWARE AND ADVISED OF ANY POTENTIAL CONFLICT. A PERSON WHO HAS A CONFLICT OF INTEREST IS NOT PERMITTED TO VOTE ON THE TRANSACTION, CONTRACT, OR ITEM IN CONFLICT, AND IS REQUIRED TO RECUSE FROM ANY DECISIONS REGARDING THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15A |
PROCESS FOR DETERMINING COMPENSATION OF OFFICERS: COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION OF DETERMINING COMPENSATION OF OFFICERS WERE RECORDED IN THE MINUTES OF THE BOARD MEETING. THIS OCCURS EACH CALENDAR YEAR, INCLUDING THE CALENDAR YEAR ENDING 12/31/2020. THE ANNUAL REVIEW IS CONDUCTED ALONGSIDE THE MANAGEMENT COMPANY AND THE RECOMMENDATIONS PROVIDED BY THE MANAGEMENT COMPANY ARE PROVIDED TO THE BOARD. THE COMPENSATION IS THEN APPROVED BY THE BOARD. |
| FORM 990. PART VI, SECTION C, LINE 19 |
AVAILABILITY OF GOVERNING DOCUMENTS: A COPY OF THE CONFLICT OF INTEREST, GOVERNING DOCUMENTS, AND/OR FINANCIAL STATEMENTS WILL BE MADE AVAILABLE ON THE SAME DAY (MONDAY THROUGH FRIDAY) REQUEST IS MADE IN PERSON. IF A REQUEST IS MADE VIA US MAIL, OR PRIVATE CARRIER, LACOBA HOMES, INC., WILL RETURN A COPY WITHIN 30 DAYS OF THE RECEIPT OF THE REQUEST. |
| FORM 990, PART XI, LINE 9 |
OTHER CHANGES IN NET ASSETS OR FUND BALANCES: $ (1,086) ADJUSTMENT RELATED TO FOUNDATION |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PURCHASED SERVICES TOTAL FEES:628606 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:BILLING SERVICES TOTAL FEES:86400 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:CONSULTING TOTAL FEES:48606 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:CONTRACT LABOR TOTAL FEES:11013 |
Attach to Form 990 or 990-EZ.