2021-11-12T14:12:27-06:00 2020-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2020-01-01 200670083 CEDARBROOK VILLAGE INCORPORATED CEDA 3157973114 2050 TILDEN AVE NEW HARTFORD NY 134133630 CHRISTA SERAFIN CEO 3157973114 2021-11-11 1 CHRISTA SERAFIN 999009999 DEBORAH STUCK P01281391 3154463600 2021-11-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHRISTA SERAFIN 2050 TILDEN AVE NEW HARTFORD NY 134133630 2322067 0 X WWW.SITRIN.COM X 2004 NY SENIOR ENRICHED HOUSING AND ASSISTED LIVING PROGRAM. 8 8 69 0 0 0 4909 42776 1993114 2209238 18944 4608 18172 17529 2035139 2274151 0 0 0 0 1130873 1305352 0 0 0 1038402 1089199 2169275 2394551 -134136 -120400 6876740 6688090 2505857 2410910 4370883 4277180 CEDARBROOK IS A LICENSED ASSISTED LIVING PROVIDER REGULATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. CEDARBROOK IS AFFILIATED WITH SITRIN HEALTH CARE CENTER. 0 0 2098944 2226767 CEDARBROOK PROVIDES VARIOUS LEVELS OF CARE TO INDIVIDUALS 62 YEARS OF AGE AND OLDER SO THAT THEY MAY LIVE INDEPENDENTLY WITH SUPPORT SERVICES AVAILABLE AS THEIR NEEDS CHANGE.IN 2020, CEDARBROOK'S TOTAL RESIDENT DAYS WERE 18,598 WITH A TOTAL OF 72 SENIORS SERVED. 2098944 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 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 1 0 1 69 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X CHRISTA SERAFIN 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 MARSHA SILVERMAN SECRETARY 2.00 5.00 X X 0 0 0 EDWARD KOWALSKY TREASURER 2.00 6.00 X X 0 0 0 MICHAEL COMINSKY VICE CHAIRPERSON 2.00 8.00 X X 0 0 0 DR SUSAN BLATT DIRECTOR 2.00 2.50 X 0 0 0 MARK SMITH CHAIRMAN 2.00 8.00 X X 0 0 0 ADELE SOSSEN DIRECTOR 0.50 2.50 X 0 0 0 LOIS SILVERMAN DIRECTOR 0.50 4.00 X 0 0 0 RANDY ROCKFORD DIRECTOR 0.50 2.00 X 0 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 1.00 36.50 X 0 222841 14280 DAVID WALLACE VP OF ASSISTED LIVING 37.50 X 95394 0 6630 95394 222841 20910 0 0 1 0 0 42726 50 42776 RESIDENT SERVICES 623311 2187230 2187230 GUEST MEALS 623311 11845 11845 APPLICATION REVENUE 623311 6750 6750 GARAGE RENTAL 623311 2888 2888 GUEST ROOM REVENUE 623311 525 525 2209238 8929 8929 43595 41658 6258 1937 -6258 -4321 -4321 CABLE REVENUE 523311 15135 15135 FORFEITED SECURITY DEP 523311 1000 1000 1394 1394 17529 2274151 2226767 0 4608 95394 95394 946889 918705 28184 10585 9330 1255 171226 152433 18793 81258 71659 9599 166000 74700 91300 95 95 8059 8059 33110 23207 9903 169 169 13210 398 12812 7520 7520 205121 203535 1586 4772 3361 1411 428693 425193 3500 FOOD/BEVERAGE EXPENSE 135481 135481 REPAIRS & MAINTENANCE E 18859 18678 181 HOUSEKEEPING/LAUNDRY SU 8353 8353 DURABLE/DISPOSABLE DIET 577 577 59180 53334 5846 2394551 2098944 295607 0 128304 145518 1257836 1331398 60433 89074 316257 297723 9446 10539 3700 3380 9258453 4467214 5088209 4791239 12555 19219 6876740 6688090 107748 96964 2275221 2172787 122888 141159 2505857 2410910 X 4370883 4277180 4370883 4277180 6876740 6688090 -120400 26697 0 X X 0 1 X 1 0 X 9902 3047 4022 4909 42776 64656 2109859 2112639 2089664 1993113 2208635 10513910 2119761 2115686 2093686 1998022 2251411 10578566 0 0 0 10578566 3978 11282 14802 15231 8929 54222 3978 11282 14802 15231 8929 54222 16925 17053 18642 18172 17529 88321 2140664 2144021 2127130 2031425 2277869 10721109 0.98670 0.98700 0.00510 0.00440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12660 12660 8428785 4015050 4413735 783949 443166 340783 33059 8998 24061 4791239 CASH HELD IN TRUST FOR RESIDENTS 19219 SECURITY DEPOSITS FROM RESIDENTS 121940 141159 X 2306503 26697 26697 2279806 -5655 -5655 2274151 2400206 6258 6258 2393948 603 603 2394551 PART X, LINE 2: CEDARBROOK IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS OF DECEMBER 31, 2020 AND 2019, CEDARBROOK DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2017 THROUGH 2020. CEDARBROOK DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF EQUIPMENT -6,258. BAD DEBTS 603. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS 603. 1 X X 0 0 0 0 0 0 0 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 0 216859 0 0 0 5982 0 0 0 14280 0 237121 0 0 A ONEIDA COUNTY INDUSTRIAL DEVELOPMENT AGENCY 273190422 2018-12-28 2472000 TO REFINANCE THE 2007A BONDS WITH THE 2018 BONDS 0 0 0 A 2395000 2472000 77000 2018 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. IS THE SOLE MEMBER OF CEDARBROOK VILLAGE INCORPORATED. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. APPOINTS THE BOARD OF DIRECTORS OF CEDARBROOK VILLAGE INCORPORATED. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD MEMBERS REVIEWED THE FORM 990 AT THE NOVEMBER 2021 BOARD MEETING PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO UPDATE AND RE-SIGN THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS COLLECTIVELY REVIEWS AND APPROVES THE CEO'S SALARY AND BENEFITS. COMPARATIVE DATA FROM OTHER LIKE ORGANIZATIONS IS USED. THIS MEETING IS DOCUMENTED THROUGH EXECUTIVE SESSION MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 ALL OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC. COPIES WILL BE PROVIDED UPON REQUEST. FORM 990, PAGE 7, PART VII THE FOLLOWING OFFICER IS ALSO AN OFFICER OF RELATED ENTITY, CHARLES T. SITRIN HEALTH CARE CENTER, INC. -CHRISTA SERAFIN CHARLES T SITRIN HEALTH CARE CENTER INC 2050 TILDEN AVE NEW HARTFORD NY 13413 223100745 SKILLED NURSING/OUTPATIENT REHAB FACILITY NY 501(C)3 LINE 11 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 2050 TILDEN AVE NEW HARTFORD NY 13413 150543936 SOLE MEMBER OF OTHER CORPORATIONS NY 501(C)3 LINE 7 N/A 0 GAN KAVOD INC PO BOX 634 NEW HARTFORD NY 13413 223032483 INTERMEDIATE CARE FACILITY & INDIVIDUALIZED RESIDENTIAL ALTERNATIVE NY 501(C)3 LINE 11 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 SITRIN CHILD DAY CARE FACILITY INC 3 KAVOD ROAD NEW HARTFORD NY 13413 161484534 CHILD DAY CARE CENTER NY 501(C)3 LINE 11 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 SITRIN FOUNDATION INC 2050 TILDEN AVE NEW HARTFORD NY 13413 300098393 FOUNDATION NY 501(C)3 LINE 12B, II CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 GEORGIAN COURT ESTATES SENIOR HOUSING CO 2050 TILDEN AVE NEW HARTFORD NY 13413 204288247 SENIOR HOUSING NY 501(C)3 LINE 11 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0