2020-11-14T09:41:30-06:00 2019-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2019-01-01 200670083 CEDARBROOK VILLAGE INCORPORATED CEDA 3157973114 2050 TILDEN AVE NEW HARTFORD NY 134133630 CHRISTA SERAFIN CEO 3157973114 2020-11-12 1 DEBORAH STUCK P01281391 3154463600 2020-11-12 45.47.35.56 2020-11-12 12:00:02 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 285E53E6E6CFC2A705EC861480093698646C7815 2019 2021-01-29 14:40:06Z CHRISTA SERAFIN 2050 TILDEN AVE NEW HARTFORD NY 134133630 2163686 0 X WWW.SITRIN.COM X 2004 NY SENIOR ENRICHED HOUSING AND ASSISTED LIVING PROGRAM. 8 8 57 0 0 0 4022 4909 2089664 1993114 15056 18944 -64468 18172 2044274 2035139 0 0 0 0 1094727 1130873 0 0 0 1082619 1038402 2177346 2169275 -133072 -134136 7066865 6876740 2605855 2505857 4461010 4370883 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 2034531 2011286 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 2019, CEDARBROOK'S TOTAL RESIDENT DAYS WERE 17,658 WITH A TOTAL OF 80 SENIORS SERVED. 2034531 1 0 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 4 0 1 57 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 MICHAEL DAMSKY DIRECTOR 0.50 1.50 X 0 0 0 MARSHA SILVERMAN SECRETARY 2.00 5.00 X X 0 0 0 EDWARD KOWALSKY DIRECTOR 0.50 6.00 X 0 0 0 MICHAEL COMINSKY TREASURER 2.00 8.00 X X 0 0 0 DR SUSAN BLATT VICE CHAIRPERSON 2.00 2.50 X 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 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 1.00 37.50 X 0 215977 13440 DAVID WALLACE VP OF ASSISTED LIVING 37.50 0.00 X 88468 0 7590 88468 215977 21030 0 0 1 0 0 4825 84 4909 RESIDENT SERVICES 623311 1959023 1959023 GUEST MEALS 623311 13861 13861 APPLICATION REVENUE 623311 9250 9250 GUEST ROOM REVENUE 623311 6705 6705 GARAGE RENTAL 623311 4275 4275 1993114 15231 15231 132260 128547 3713 3713 3713 CABLE REVENUE 523311 14610 14610 FORFEITED SECURITY DEP 523311 3055 3055 507 507 18172 2035139 2011286 0 18944 99607 99607 899225 896399 2826 8961 7611 1350 48305 42065 6240 74775 66870 7905 167000 167000 9667 9667 15142 15142 96 96 21315 21315 206309 206309 6510 4755 1755 424753 424753 FOOD/BEVERAGE EXPENSE 121580 121580 REPAIRS & MAINTENANCE E 16749 16749 HOUSEKEEPING/LAUNDRY SU 10875 10875 DURABLE/DISPOSABLE DIET 2952 2952 35454 30060 5394 2169275 2034531 134744 0 233517 128304 1084300 1257836 53637 60433 279442 316257 5688 9446 3813 3700 9480481 4392272 5389419 5088209 17049 12555 7066865 6876740 99703 107748 2367657 2275221 138495 122888 2605855 2505857 X 4461010 4370883 4461010 4370883 7066865 6876740 -134136 44009 0 X X 0 1 X 1 0 X 50 9902 3047 4022 4909 21930 2031065 2109859 2112639 2089664 1993113 10336340 2031115 2119761 2115686 2093686 1998022 10358270 0 0 0 10358270 742 3978 11282 14802 15231 46035 742 3978 11282 14802 15231 46035 19732 16925 17053 18642 18172 90524 2051589 2140664 2144021 2127130 2031425 10494829 0.98700 0.98810 0.00440 0.00300 X 12660 12660 8407672 3680857 4726815 1020182 703588 316594 39967 7827 32140 5088209 CASH HELD IN TRUST FOR RESIDENTS 12555 SECURITY DEPOSITS FROM RESIDENTS 110333 122888 X 2074273 44008 44008 2030265 4874 4874 2035139 2164401 0 2164401 4874 4874 2169275 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, 2019 AND 2018, 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 2016 THROUGH 2019. CEDARBROOK DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 4,874. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 4,874. X 1 1 X X 0 0 0 0 0 0 0 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 0 215977 0 0 0 0 0 0 0 13440 0 229417 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 990 AT THE NOVEMBER 2020 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