2022-11-15T09:31:34-06:00 2021-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-01-01 223701092 SJF CCRC INC SJFC 8566792211 1110 LAUREL OAK ROAD VOORHEES NJ 08043 DAVID THOMPSON CHIEF EXECUTIVE OFFICER 8566792211 2022-11-09 1 DAVID THOMPSON 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LIONS GATE DAVID THOMPSON 1110 LAUREL OAK ROAD VOORHEES NJ 08043 32513658 0 X WWW.LIONSGATECCRC.ORG X 1999 NJ CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES. 22 22 284 22 64804 63804 3778535 1035749 26239131 28589061 301855 1053466 2088816 311294 32408337 30989570 0 0 0 0 12318263 12594731 0 0 76861 19149226 19982697 31467489 32577428 940848 -1587858 99490294 105324676 102550964 98929902 -3060670 6394774 X SJF-CCRC, INC., A NON-PROFIT AGENCY, IS COMMITTED TO PROVIDING THE BENEFITS OF QUALITY HOUSING AND COMPASSIONATE HEALTHCARE SERVICES TO SENIOR RESIDENTS AND THEIR FAMILIES. CONTINUED ON SCHEDULE "O".OUR COMMUNITY BASED HOUSING CREATES A DIGNIFIED AND RESPECTFUL ENVIRONMENT CONSISTENT WITH JEWISH VALUES. THROUGH COLLABORATIVE PARTNERSHIPS, WE HONOR OUR SENIORS AND STRIVE TO OFFER THEM EXCELLENT PROGRAMS TO ENHANCE THEIR SOCIAL, CULTURAL AND SPIRITUAL WELL-BEING. 0 0 27003672 0 28589061 SJF-CCRC, INC. IS A CONTINUING CARE RETIREMENT COMMUNITY PROVIDING INDEPENDENT AND ASSISTED LIVING AS WELL AS SKILLED NURSING AND REHABILITATION FACILITIES TO THE ELDERLY POPULATION. AS A FULL-SERVICE CONTINUING CARE RETIREMENT COMMUNITY, SENIOR LIVING OPTIONS RANGE FROM INDEPENDENT LIVING TO A FULL CONTINUUM OF ON-SITE CARE - ASSISTED LIVING, SKILLED NURSING AND LONG-TERM CARE, SHORT-TERM AND OUTPATIENT REHABILITATION, MEMORY CARE AND HOME CARE. OUR RESIDENTS ENJOY AN INDEPENDENT, ENGAGING AND WORRY-FREE LIFESTYLE. THERE ARE 164 INDEPENDENT LIVING UNITS, 70 ASSISTED LIVING UNITS, 78 SKILLED NURSING BEDS AND 32 REHABILITATION BEDS. THE COMMUNITY IS LOCATED IN VOORHEES, NJ. 27003672 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 162 0 284 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 22 22 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X DAVID THOMPSON CEO 8566792211 1110 LAUREL OAK ROAD VOORHEES NJ 08043 BRIAN ZELL MD PRESIDENT 0.50 0.50 X X 0 0 0 MARK ADLER VICE PRESIDENT 0.50 0.50 X X 0 0 0 IAN D MEKLINSKY ESQ VICE PRESIDENT 0.50 0.50 X X 0 0 0 MARK R ROSEN ESQ VICE PRESIDENT 0.50 0.50 X X 0 0 0 MICHAEL FRANKEL TREASURER 0.50 0.50 X X 0 0 0 NAOMI SCHIMMER SECRETARY 0.50 0.50 X X 0 0 0 ALISON PLATT-TARNOPOL IMMEDIATE PAST PRESIDENT 0.50 0.50 X X 0 0 0 JD ABRAMS TRUSTEE 0.50 0.50 X 0 0 0 CARL H BAGELL CPA TRUSTEE 0.50 0.50 X 0 0 0 NANCY EPSTEIN TRUSTEE 0.50 0.50 X 0 0 0 JIM FEIGENBAUM TRUSTEE 0.50 0.50 X 0 0 0 LARRY GOTTLIEB TRUSTEE 0.50 0.50 X 0 0 0 LAURA GOTTLIEB TRUSTEE 0.50 0.50 X 0 0 0 MICHAEL GREENSPUN TRUSTEE 0.50 0.50 X 0 0 0 DAVID GUTIN ESQ TRUSTEE 0.50 0.50 X 0 0 0 SUSAN HERRON TRUSTEE 0.50 0.50 X 0 0 0 HEATHER KRAMER TRUSTEE 0.50 0.50 X 0 0 0 ANDREA ANDI LEVIN TRUSTEE 0.50 0.50 X 0 0 0 ARTHUR MILGRIM TRUSTEE 0.50 0.50 X 0 0 0 NANCY PERILSTEIN TRUSTEE 0.50 0.50 X 0 0 0 GLENN SLOVES TRUSTEE 0.50 0.50 X 0 0 0 LEORA WAICHE TRUSTEE 0.50 0.50 X 0 0 0 DAVID THOMPSON CHIEF EXECUTIVE OFFICER 39.00 1.00 X 270191 0 24555 MEREDITH BECKER CHIEF OPERATIONAL OFFICER 39.00 1.00 X 61654 0 771 SHEILA ALLOTEY-ADDO NURSING-RN 40.00 X 194444 0 0 ANGELA STEVENS SALES COUNSELOR 40.00 X 159227 0 17422 VIRGILIO ROSANA RN SUPERVISOR 40.00 X 139249 0 12908 CAROLYN RUSSELL DIRECTOR OF HUMAN RESOURCE 40.00 X 130313 0 23032 TATINA CARR NURSING DIRECTOR 40.00 X 127663 0 1596 1082741 0 80284 17 0 1 0 SODEXO INC & AFFILATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SVC, EVS, LAUNDRY 5173675 ALEXANDER REID HOME CONSTRUCTION 570 HOPEWELL ROAD MARLTON NJ 08053 REMODELING / RENOVATIONS 635910 OMNICARE OF SOUTHERN NJ PO BOX 78000 DETROIT MI 48278 MEDICATION PROVIDER 375699 CURTIS CROSBY CLEANING LLC 2658 TILTON STREET PHILADELPHIA PA 19125 CLEANING SERVICES 308286 NURSE STAFFERS INC 146 LAKEVIEW DRIVE SUITE 200 GIBBSBORO NJ 08026 TEMP. NURSE STAFFING 268460 10 92106 192993 750650 1035749 NET RESIDENT SERVICE REVENUE 623000 28589061 28589061 28589061 867678 64804 802874 37606 21800 15806 15806 15806 1649009 1463221 185788 185788 185788 50248 92106 39067 11181 11181 MANAGEMENT FEES 900099 169373 169373 MEALS REVENUE 900099 56927 56927 TELEPHONE/CABLE REVENUE 517000 31710 31710 26297 26297 284307 30989570 28589061 64804 1299956 351460 351460 9898214 8317963 1515773 64478 59946 59946 1553984 1129942 424042 731127 586632 139967 4528 117068 117068 73987 73987 640 640 2820845 2519005 301840 343772 342872 900 1241414 335332 905528 554 115669 9059 106610 1819923 1819923 3221 2833 388 8885 6984 1901 2796400 2796400 3212828 3212828 641565 641565 CATERING/FOOD SERVICE 4006947 4006947 REPAIRS & MAINTENANCE 716230 713361 2869 MEDICAL SUPPLIES 694094 694094 COVID SUPPLIES & EXPENS 559644 559644 809565 232779 570385 6401 32577428 27003672 5496895 76861 1843980 298578 223622 38104 155068 105068 991926 1860367 657941 684990 108206529 42551978 67442059 65654551 13668229 21313017 14507469 15370001 99490294 105324676 3723000 3954471 5675874 7736905 54085827 52971289 39066263 34267237 102550964 98929902 X -6037707 3220701 2977037 3174073 -3060670 6394774 99490294 105324676 X -1587858 -46303 11089605 X 0 1 X 1 0 X 412941 691928 779050 3778535 1035749 6698203 26735550 27451494 28166145 26239131 28589061 137181381 27148491 28143422 28945195 30017666 29624810 143879584 0 0 0 143879584 295233 546914 542909 284432 840480 2509968 295233 546914 542909 284432 840480 2509968 70435 64804 135239 303648 290529 328108 2017756 334555 3274596 27747372 28980865 29816212 32390289 30864649 149799387 0.96050 0.96470 0.01680 0.01380 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY BARBER REVENUE - 2019 AMOUNT: $ 12,930. 2020 AMOUNT: $ 4,716. 2021 AMOUNT: $ 5,855. INSURANCE REIMBURSEMENT - 2017 AMOUNT: $ 68,762. MANAGEMENT FEES - 2017 AMOUNT: $ 165,000. 2018 AMOUNT: $ 165,000. 2019 AMOUNT: $ 165,000. 2020 AMOUNT: $ 116,196. 2021 AMOUNT: $ 169,373. MEALS REVENUE - 2017 AMOUNT: $ 15,637. 2018 AMOUNT: $ 76,778. 2019 AMOUNT: $ 64,048. 2020 AMOUNT: $ 81,584. 2021 AMOUNT: $ 56,927. MISCELLANEOUS REVENUE - 2017 AMOUNT: $ 10,866. 2018 AMOUNT: $ 6,710. 2019 AMOUNT: $ 32,173. 2020 AMOUNT: $ 24,695. 2021 AMOUNT: $ 1,344. TELEPHONE/CABLE TV REVENUE - 2017 AMOUNT: $ 43,383. 2018 AMOUNT: $ 42,041. 2019 AMOUNT: $ 36,141. 2020 AMOUNT: $ 24,006. 2021 AMOUNT: $ 31,710. ANCILLARIES - 2019 AMOUNT: $ 17,816. 2020 AMOUNT: $ 25,759. 2021 AMOUNT: $ 19,098. PPP LOAN FORGIVENESS INCOME - 2020 AMOUNT: $ 1,740,800. FUNDRAISING RECEIPTS - 2021 AMOUNT: $ 50,248. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 640 640 0 PART II-B, LINE 1: SJF-CCRC, INC. PAID MEMBERSHIP DUES TO LEADING AGE AND LIFESPAN OF NJ. A PORTION OF THE DUES PAID IS ALLOCABLE TO LOBBYING EXPENSES. 6726097 94659 637153 262887 55940 7139082 6416181 100110 511753 253583 48364 6726097 5902160 251124 638239 327766 47576 6416181 6398486 96371 -265748 277240 49709 5902160 6010662 48625 665567 265535 60833 6398486 0.75890 0.05010 0.19100 1 0 6360288 6360288 92359688 35747043 56612645 3700 3700 7980675 5618302 2362373 1502178 1186633 315545 65654551 REFUNDABLE DEPOSITS 223655 LEASED ASSETS UNDER RIGHT TO USE 51522 INTEREST IN NET ASSETS OF JEWISH COMMUNITY FOUNDATION 7139084 FUNDS HELD BY TRUSTEE 7771814 DUE FROM RELATED PARTY 183926 15370001 SECURITY DEPOSIT PAYABLE 211553 REFUNDABLE FEES AND DEPOSITS 34004162 CAPITAL LEASE OBLIGATIONS 51522 34267237 X 41897691 -46303 10997428 10951125 30946566 43004 43004 30989570 32442247 21800 21800 32420447 156981 156981 32577428 PART V, LINE 4: FUNDS WILL BE UTILITIZED FOR SUPPORTING THE MISSION OF THE ORGANIZATION UNDER THE GUIDANCE OF THE BOARD OF TRUSTEES. PART X, LINE 2: LIONS GATE ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2021 OR 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCREASE IN INTEREST IN NET ASSETS OF JEWISH COMMUNITY FOUNDATION 412,987. BAD DEBT EXPENSE NETTED AGAINST REVENUE ON FINANCIALS -156,981. EQUITY TRANSFER FROM AFFILIATES 10,741,422. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -21,800. BOOK TO TAX ADJUSTMENT FOR MEDREHAB ALLIANCE INVESTMENT INCOME 64,804. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 21,800. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE ON FINANCIALS 156,981. SUSAN LOVE ANNUAL GOLF EVENT 106448 58355 48093 5020 17323 1700 12869 COVID - SOLIDARITY RESPONSE FUND 25029 22874 2155 2155 1 10877 10877 142354 92106 50248 5020 17323 1700 15024 39067 11181 X X X X 0 0 0 0 0 0 0 0 0 DAVID THOMPSON CHIEF EXECUTIVE OFFICER 236174 0 22400 0 11617 0 3152 0 21403 0 294746 0 0 0 SHEILA ALLOTEY-ADDO NURSING-RN 193864 0 580 0 0 0 0 0 0 0 194444 0 0 0 ANGELA STEVENS SALES COUNSELOR 156952 0 2275 0 0 0 862 0 16560 0 176649 0 0 0 CAROLYN RUSSELL DIRECTOR OF HUMAN RESOURCE 118202 0 1500 0 10611 0 1629 0 21403 0 153345 0 0 0 VIRGILIO ROSANA RN SUPERVISOR 138559 0 690 0 0 0 1033 0 11875 0 152157 0 0 0 A NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY 222045817 64577BAR5 2014-07-02 60910712 SEE PART VI 0 0 0 A 7000000 60910712 1218214 4114778 55577720 2016 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2019 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY (F) DESCRIPTION OF PURPOSE: NEW CONSTRUCTION AND RETIREMENT OF OLD BONDS FORM 990, PART VI, SECTION A, LINE 1A THE PRESIDENT SHALL PRESIDE AT ALL MEETINGS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS, THE IMMEDIATE PAST PRESIDENT, AND SUCH ADDITIONAL MEMBERS OF THE BOARD OF TRUSTEES AS ARE APPOINTED BY THE PRESIDENT WITH CONSENT OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL ACT FOR THE BOARD OF TRUSTEES BETWEEN REGULAR BOARD MEETINGS ON MATTERS, WHICH IN THE JUDGMENT OF THE EXECUTIVE COMMITTEE CONSTITUTE EMERGENCIES, WHICH CANNOT BE ACTED UPON IN TIME AT A REGULAR OR SPECIAL MEETING OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL PRESENT PROPOSALS TO THE BOARD OF TRUSTEES FOR ITS ACTION WITH RESPECT TO THE PROGRAMS, DIRECTION, OR MANAGEMENT OF THE FACILITIES GOVERNED BY THE CORPORATION. MINUTES OF ALL MEETINGS OF THE EXECUTIVE COMMITTEE SHALL BE MAINTAINED AND A REPORT OF BUSINESS CONDUCTED SHALL BE PRESENTED AT THE NEXT IMMEDIATE MEETING OF THE BOARD OF TRUSTEES. NO ACTION OF THE EXECUTIVE COMMITTEE SHALL BE TAKEN ON ANY MATTERS THAT WOULD OTHERWISE REQUIRE ACTION BY THE BOARD OF TRUSTEES UNLESS IT IS SUBSEQUENTLY RATIFIED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET AT LEAST QUARTERLY. FORM 990, PART VI, SECTION A, LINE 2 LARRY AND LAURA GOTTLIEB HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 7A AN AFFILIATED COMPANY, JEWISH FEDERATION OF SOUTHERN NEW JERSEY, HAS THE RIGHT TO APPOINT TWO MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B AN AFFILIATED COMPANY, JEWISH FEDERATION OF SOUTHERN NEW JERSEY, HAS THE RIGHT TO VOTE ON TWO MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE CFO WILL REVIEW THE 990 IN DETAIL. A COPY OF THE 990 WILL BE PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING. A COPY WILL ALSO BE MADE AVAILABLE FOR THE FULL BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY AND DISCLOSURE STATEMENT IS FURNISHED ANNUALLY TO EACH KEY INDIVIDUAL (WHICH INCLUDES ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES) FOLLOWING THE ANNUAL MEETING. ANY NEW KEY INDIVIDUAL IS PROVIDED WITH A COPY OF THIS POLICY UPON COMMENCEMENT OF THEIR POSITION. KEY INDIVIDUALS ARE REQUIRED TO GIVE FULL DISCLOSURE, IN WRITING, OF ANY RELATIONSHIP OR INTEREST THAT MAY GIVE RISE TO A CONFLICT TO THE PRESIDENT OF THE BOARD AND TO THE CHAIRMAN OF ANY COMMITTEE ACTING ON THE CONTRACT OR TRANSACTION. STAFF MEMBERS SHALL DISCLOSE, IN WRITING, ANY POSSIBLE CONFLICT OF INTEREST FOR THEMSELVES OR THEIR FAMILY MEMBERS TO THE CHIEF FINANCIAL OFFICER. THE POLICY IS REVIEWED AND DISTRIBUTED TO THE BOARD ANNUALLY. IF THERE IS A SPECIFIC CONFLICT, BOARD MEMBERS RECUSE THEMSELVES FROM PARTICIPATING IN RELATED DISCUSSIONS OR VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE CEO GOES THROUGH A COMMITTEE PROCESS FOR COMPENSATION REVIEW. COMPARATIVE INFORMATION IS PROVIDED TO ENABLE THE BOARD COMMITTEE TO MAKE AN ACCURATE SUGGESTION TO THE BOARD. OTHER EMPLOYEES ARE COMPENSATED BASED UPON AN INTERNAL REVIEW PROCESS. FAIR MARKET VALUE OF COMPENSATION WAS INITIALLY DETERMINED USING INDUSTRY SOURCES SUCH AS LEADING AGE AND ASSOCIATION OF JEWISH AGING SERVICES (AJAS). THE COMPENSATION PROCESS IS DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF JEWISH COMMUNITY FOUNDATION 412,987. BOOK TO TAX ADJUSTMENT FOR MEDREHAB ALLIANCE INVESTMENT -64,804. EQUITY TRANSFER FROM AFFILIATES 10,741,422. JEWISH FEDERATION HOUSING MANAGEMENT CO 3051 W CHAPEL AVE CHERRY HILL NJ 08002 222208648 FOOD & HOUSEKEEPING SERVICES; AFFORDABLE HOUSING SERVICES FOR SENIORS NJ 501(C)(3) LINE 10 N/A 0 JEWISH FEDERATION OF SOUTHERN NEW JERSEY 1301 SPRINGDALE RD CHERRY HILL NJ 08002 210634489 SOCIAL SERVICES & OTHER COMMUNITY SERVICES NJ 501(C)(3) LINE 7 N/A 0 JEWISH FEDERATION SENIOR HOUSING INC 3051 W CHAPEL AVE CHERRY HILL NJ 08002 311654257 AFFORDABLE HOUSING FOR SENIOR CITIZENS NJ 501(C)(3) LINE 10 N/A 0 BERNARD DUBIN HOUSE LIMITED PARTNERSHIP 3051 WEST CHAPEL AVE CHERRY HILL NJ 08002 208334276 REAL ESTATE NJ N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0