2022-11-14T16:03:18-06:00 2021-12-31 390859910 BAKER TILLY US LLP 777 E WISCONSIN AVENUE FLOOR 32 MILWAUKEE WI 53202 990 2021-01-01 383087328 HENRY FORD VILLAGE HENR 3135841000 15101 FORD ROAD DEARBORN MI 48126 SHELDON STONE LIQUIDATING TRUSTEE 2486332135 2022-11-14 1 SHELDON STONE 999009999 TROY MARINE CPA P00187863 4147775500 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SHELDON STONE 255 E BROWN STREET SUITE 120 BIRMINGHAM MI 48009 84991852 0 X N/A X 1992 MI PROMOTION OF HEALTH FOR THE ELDERLY BY PROVIDING A CONTINUING CARE RESIDENTIAL COMMUNITY IN DEARBORN, MI WITH RECREATION, SOCIAL, AND RELIGIOUS ACTIVITIES FOR RESIDENTS. X 9 9 502 90 0 0 249015 0 33755527 23180838 332612 58244383 204595 3566631 34541749 84991852 0 0 0 0 15912319 10611939 0 0 372702 23973643 32780084 39885962 43392023 -5344213 41599829 91957416 17115339 172092806 55650900 -80135390 -38535561 X PROMOTION OF HEALTH FOR THE ELDERLY BY PROVIDING A CONTINUING CARE RESIDENTIAL COMMUNITY LOCATED IN DEARBORN, MICHIGAN WITH RECREATIONAL, SOCIAL, AND RELIGIOUS ACTIVITIES FOR RESIDENTS. 0 1 18545214 23180838 HENRY FORD VILLAGE, INC. IS A MICHIGAN NON-STOCK CORPORATION ESTABLISHED TO OPERATE A NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY LOCATED IN DEARBORN, MICHIGAN. 18545214 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 57 0 502 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X SHELDON STONE 2486332135 255 E BROWN STREET SUITE 120 BIRMINGHAM MI 48009 KUSHANT SHAH DIRECTOR OF FINANCE 40.00 X 100883 0 3939 BRUCE BLALOCK EXECUTIVE DIRECTOR 40.00 X 0 0 0 JOHN BYRNE BOARD CHAIRMAN 4.00 X 0 0 0 DONALD JESMORE BOARD VICE CHAIRMAN 4.00 X 0 0 0 CURT YUN SECRETARY/TREASURER 4.00 X 0 0 0 DR KAREN ROSS MEMBER 4.00 X 0 0 0 DR WALTER TALAMONTI MEMBER 4.00 X 0 0 0 LINDA HIVELEY MEMBER 4.00 X 0 0 0 MARY LOU POSA MEMBER 4.00 X 0 0 0 PETER FALZON MEMBER 4.00 X 0 0 0 LYNN FORD ALANDT HONORARY BOARD MEMBER 0.00 X 0 0 0 100883 0 3939 1 0 0 0 FTI CONSULTING INC 555 12TH STREET NW SUITE 700 WASHINGTON DC 20004 BANKRUPTCY ADVISORY SERVICES 3485225 RBC CAPITAL MARKETS LLC ROYAL BANK PLAZA 200 BAY STREET TORONTO ONTARIO CA M5J 2W7 M&A ADVISORY SERVICES 1915485 GORDON FOOD SERVICE INC 333 50TH ST SW GRAND RAPIDS MI 49548 FOOD AND KITCHEN SUPPLIES 1488176 DYKEMA GOSSETT PLLC 400 RENAISSANCE CENTER DETROIT MI 48243 BANKRUPTCY ADVISORY SERVICES 1469841 ABM HEALTHCARE SUPPORT SERVICES INC 40600 ANN ARBOR RD E STE 201 PLYMOUTH MI 48170 MANAGEMENT SERVICES 918796 19 OCCUPANCY REVENUE 623000 15786081 15786081 HEALTH CENTER REVENUE 623000 6177518 6177518 RESIDENT FEE AMORTIZATION 623000 1076607 1076607 140632 140632 23180838 19510 19510 58224873 0 58224873 58224873 58224873 DEBT FORGIVENESS 900099 2683600 2683600 MISCELLANEOUS 900099 883031 883031 3566631 84991852 23180838 0 61811014 X 104822 85363 19167 292 7827418 6374373 1431249 21796 2022615 1647146 369837 5632 657084 535106 120147 1831 3321267 3271448 49819 10765 10604 161 11717592 4998775 6618035 100782 894807 881385 13422 149618 149618 3228358 2137466 1074529 16363 5170839 5093276 77563 3658485 3603608 54877 984660 969890 14770 DIETARY AND RELATED SUP 1688236 1688236 MISCELLANEOUS EXPENSES 1300723 274397 1010932 15394 HEALTH CENTER EXPENSES 654734 654734 43392023 18545214 24474107 372702 3501507 13579481 186385 0 2913228 6597 172050 0 1412860 720833 0 0 77941343 0 5830043 2808428 91957416 17115339 9450780 8316680 12398088 214119 48193265 0 641857 0 2702329 0 98706487 47120101 172092806 55650900 X -80934946 -80139560 799556 41603999 -80135390 -38535561 91957416 17115339 41599829 0 X 0 0 0 X 993978 993217 1661520 249015 0 3897730 36845588 37838694 37626751 33894668 23180838 169386539 37839566 38831911 39288271 34143683 23180838 173284269 0 0 0 173284269 107378 408457 299369 148712 19510 983426 107378 408457 299369 148712 19510 983426 65454 3566631 3632085 37946944 39240368 39587640 34357849 26766979 177899780 0.97410 0.99430 0.00550 0.00530 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2020 AMOUNT: $ 65,454. 2021 AMOUNT: $ 3,566,631. 0 0 4169 4169 1105 115553 112489 4169 5350 109558 113803 1105 3805 95412 93867 5350 3712 105228 105135 3805 0.00000 0.00000 0.00000 0 0 0 COMMON RESERVE 568 MEMORIAL FUNDS 107144 REFUND RESERVE 2700716 2808428 REFUNDABLE FEES - OPERATING 47120101 47120101 FURNITURE, FIXTURES, AND EQUIPMENT 2021-09-30 5265000 BOOK VALUE 870906859 SAGE HOME MANAGEMENT LLC 395 PEARSALL AVENUE SUITE K CEDARHURST NY 11516 LAND 2021-09-30 4533801 BOOK VALUE 870906859 SAGE HOME MANAGEMENT LLC 395 PEARSALL AVENUE SUITE K CEDARHURST NY 11516 LAND IMPROVEMENT 2021-09-30 2266900 BOOK VALUE 870906859 SAGE HOME MANAGEMENT LLC 395 PEARSALL AVENUE SUITE K CEDARHURST NY 11516 BUILDING 2021-09-30 38537304 BOOK VALUE 870906859 SAGE HOME MANAGEMENT LLC 395 PEARSALL AVENUE SUITE K CEDARHURST NY 11516 INTANGIBLE ASSETS 2021-09-30 3665000 LICENSES 870906859 SAGE HOME MANAGEMENT LLC 395 PEARSALL AVENUE SUITE K CEDARHURST NY 11516 0 1 0 0 PART II, LINE 2E: PERSON(S) INVOLVED: DOROTHY LEWIS, KIM PERRY, AND HEATHER SCOTT PART II, LINE 2E: EXPLANATION OF INVOLVEMENT: THE ABOVE OFFICERS TRANSITIONED FROM HENRY FORD VILLAGE TO ALLEGRIA VILLAGE UPON SAGE HOME MANAGEMENT LLC'S ACQUISITION OF HENRY FORD VILLAGE. SCHEDULE N, PART II THE LIABILITIES ASSOCIATED WITH ALL TAX EXEMPT BONDS WERE PAID IN FULL UPON THE SALE OF HENRY FORD VILLAGE. FORM 990, PART III, LINE 3 ON 10/28/20, THE ORGANIZATION FILED FOR BANKRUPTCY IN BANKRUPTCY COURT. ON 12/6/21, THE COURT APPROVED THE BANKRUPTCY PLAN VIA A CONFIRMATION ORDER, AND ON 1/19/22, THE ORGANIZATION DISSOLVED. FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES, LLC IS A FOR-PROFIT IOWA LIMITED LIABILITY COMPANY WHICH OPERATES AND MANAGES A VARIETY OF CONTINUING CARE RETIREMENT COMMUNITIES NATIONWIDE, INCLUDING HENRY FORD VILLAGE, INC. HENRY FORD VILLAGE, INC. (THE COMMUNITY) IS GOVERNED BY AN INDEPENDENT BOARD OF DIRECTORS AND IS ADVISED BY A RESIDENTS COUNSIL ELECTED BY THE HENRY FORD VILLAGE COMMUNITY. THREE MEMBERS OF THE HENRY FORD VILLAGE, INC. BOARD ALSO SERVE ON THE HENRY FORD VILLAGE FOUNDATION BOARD OF DIRECTORS. ON DECEMBER 1, 2010, HENRY FORD VILLAGE CONTRACTED WITH LIFE CARE SERVICES LCS) FOR MANAGEMENT SERVICES. THE LCS CONTRACT WAS EXTENDED UNTIL SEPTEMBER 30, 2021. . FORM 990, PART VI, SECTION A, LINE 4 ON 10/28/20, THE ORGANIZATION FILED FOR BANKRUPTCY IN BANKRUPTCY COURT. ON 12/6/21, THE COURT APPROVED THE BANKRUPTCY PLAN VIA A CONFIRMATION ORDER, AND ON 1/19/22, THE ORGANIZATION DISSOLVED. FORM 990, PART VI, SECTION B, LINE 11B THE LIQUIDATING TRUSTEE WILL REVIEW THE 2021 FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE CONFLICT OF INTEREST, WHISTLEBLOWER, AND DOCUMENT RETENTION AND DESTRUCTION POLICIES WAS MONITORED BY THE MANAGMENT COMPANY, LIFE CARE SERVICES, LLC. BOARD MEMBERS SIGN A CONFLICT OF INTEREST FORM ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 MANAGEMENT (HENRY FORD VILLAGE, INC. & LIFE CARE SERVICES, LLC) CONDUCTS MARKET SURVEYS ON AN ANNUAL BASIS TO DETERMINE IF A COMPENSATION ADJUSTMENT IS WARRANTED. BASED ON THIS INFORMATION MAMANAGMENT RECOMMENDS ANNUAL SALARIES, TYPICALLY A PERCENTAGE INCREASE FROM THE PRIOR YEAR. THE BOARD APPROVES THE BUDGET ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. KUSHANT SHAH, HENRY FORD VILLAGE DIRECTOR OF FINANCE, HAS PUBLIC INSPECTION COPIES AVAILABLE AT 15101 FORD ROAD, DEARBOR, MI 48126. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,998,775. MANAGEMENT AND GENERAL EXPENSES 6,618,035. FUNDRAISING EXPENSES 100,782. TOTAL EXPENSES 11,717,592.