2020-08-12T15:15:25-05:00 2020-03-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2019-04-01 030378715 BRISTOL VILLAGE INC BRIS 7163199500 8455 CLARENCE CENTER ROAD CLARENCE CENTER NY 14032 MICHAEL HELBRINGER CEO 7163199500 2020-08-06 1 MARY MADONIA P00405803 7168472651 2020-08-06 104.193.28.34 2020-08-06 14:10:30 ED P 9AD29C551C0D524BD933C6291C484BFCC5F79E48 BAD19B3189874419F36CE610306A2ADF9C7725B3 2019 2020-09-23 17:36:50Z MICHAEL HELBRINGER 8455 CLARENCE CENTER ROAD CLARENCE CENTER NY 14032 5029701 0 X N/A X 2001 NY TO FOCUS ALL RESOURCES ON THE SERVICE AND COMFORT OF THE RESIDENTS. 18 18 150 35 0 0 14485 15736 4734099 4959659 2118 -8174 0 0 4750702 4967221 0 0 0 0 3261913 3405168 0 0 0 1481034 1413683 4742947 4818851 7755 148370 7432105 7824404 8496745 8740672 -1064640 -916268 TO FOCUS ALL RESOURCES ON THE SERVICE AND COMFORT OF THE RESIDENTS. 0 0 4590796 4951293 OPERATED AN ENRICHED HOUSING FACILITY THAT PROVIDES LONG-TERM RESIDENTIAL CARE, PRIMARILY FOR PERSONS OVER THE AGE OF 65, IN COMMUNITY-INTEGRATED SETTINGS RESEMBLING INDEPENDENT HOUSING UNITS. THE FACILITY ALSO CONTAINS A SPECIALIZED DEMENTIA UNIT. 4590796 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 14 0 1 150 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X BRISTOL VILLAGE INC 7163199500 8455 CLARENCE CENTER ROAD CLARENCE CENTER NY 14032 MARY LOU WYROBEK DIRECTOR/CHAIRPERSON 1.00 1.00 X X 0 0 0 STEVEN GATTUSO DIRECTOR 1.00 1.00 X 0 0 0 DANIEL HERBERGER DIRECTOR 1.00 1.00 X 0 0 0 JOSEPH FLOSS DIRECTOR/SECRETARY 1.00 1.00 X X 0 0 0 MARIANNE HANLEY DIRECTOR 1.00 1.00 X 0 0 0 BARBARA CASSARO DIRECTOR/VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 BILL PROHN DIRECTOR 1.00 1.00 X 0 0 0 HECTOR P GARRIDO DIRECTOR 1.00 1.00 X 0 0 0 JAMES MAGAVERN DIRECTOR 1.00 1.00 X 0 0 0 JACK DEZIK DIRECTOR 1.00 1.00 X 0 0 0 CORINE ARTIS DIRECTOR 1.00 1.00 X 0 0 0 JAMES BENDER DIRECTOR 1.00 1.00 X 0 0 0 THOMAS HANLON DIRECTOR 1.00 1.00 X 0 0 0 PETER MONCZYNSKI DIRECTOR 1.00 1.00 X 0 0 0 JENNIFER BALL DIRECTOR 1.00 1.00 X 0 0 0 KEVIN O'LEARY DIRECTOR 1.00 1.00 X 0 0 0 TONNALEE BATCHELOR DIRECTOR 1.00 1.00 X 0 0 0 JAMES HONAKER DIRECTOR 1.00 1.00 X 0 0 0 ALAN VOGT DIRECTOR/TREASURER (TO 8/30/19) 1.00 1.00 X X 0 0 0 MICHAEL HELBRINGER CEO 24.00 16.00 X 194939 0 36972 JEFFREY BERNACKI CONTROLLER/ACTING TREASURER 24.00 16.00 X 78899 0 13151 273838 0 50123 1 0 1 0 0 15736 15736 RESIDENT REVENUE 623000 4959659 4959659 4959659 192 192 54114 62480 -8366 -8366 -8366 4967221 4951293 0 192 273838 263358 10480 2230328 2144972 85356 104171 93754 10417 619983 557985 61998 176848 159163 17685 19400 19400 13124 13124 10598 8478 2120 9095 8849 246 271560 271560 343331 339898 3433 34615 34615 FOOD 205978 205978 UTILITIES 137664 137664 CONSULTING 57002 51378 5624 REPAIRS AND MAINTENANCE 53384 53384 257932 246636 11296 4818851 4590796 228055 0 77723 75681 12090 14200 8283 4498 11696194 4458044 6974870 7238150 359139 491875 7432105 7824404 284205 227413 59107 57563 3415 4125 8143813 8241571 6205 210000 8496745 8740672 X -1064640 -916268 -1064640 -916268 7432105 7824404 148370 2 0 X X 0 1 X 1 1 1 X 2340 2560 7247 14485 15736 42368 4459317 4590315 4642958 4734099 4951293 23377982 4461657 4592875 4650205 4748584 4967029 23420350 0 0 0 23420350 3053 1508 155 2118 192 7026 3053 1508 155 2118 192 7026 4464710 4594383 4650360 4750702 4967221 23427376 0.99970 0.99950 0.00030 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 499089 499089 9322878 3796334 5526544 872629 661710 210919 1001598 1001598 7238150 REPLACEMENT RESERVES 353434 ESCROW DEPOSITS 134317 RESIDENT FUNDS 4124 491875 DUE TO RELATED PARTY 210000 210000 X 4967223 2 2 4967221 0 4967221 4818851 0 4818851 0 4818851 PART IV, LINE 2B: THE ORGANIZATION ACTS AS A CUSTODIAN FOR RESIDENT FUNDS. THESE FUNDS ARE EXPENDED AT THE DIRECTION OF ITS RESIDENTS FOR PERSONAL ITEMS. PART X, LINE 2: THE VILLAGE IS A NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, AS SUCH, IS NOT SUBJECT TO INCOME TAXES. X X X X 0 0 0 0 0 0 0 0 0 MICHAEL HELBRINGER CEO 194939 0 0 0 0 0 11538 0 25434 0 231911 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE BRISTOL HOME, INC. IS THE SOLE VOTING MEMBER OF THE BRISTOL VILLAGE, INC. THE BRISTOL HOME HAS AN ECONOMIC INTEREST IN THE BRISTOL VILLAGE AND HAS CONTROL OF THE VILLAGE THROUGH A COMMON BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE BRISTOL HOME, INC. IS THE SOLE VOTING MEMBER OF THE BRISTOL VILLAGE, INC. THE BRISTOL HOME HAS AN ECONOMIC INTEREST IN THE BRISTOL VILLAGE AND HAS CONTROL OF THE VILLAGE THROUGH A COMMON BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN OUTSIDE, INDEPENDENT ACCOUNTING FIRM. IT IS THEN PRESENTED TO THE AUDIT COMMITTEE AND THE ENTIRE BOARD FOR REVIEW, DISCUSSION, AND APPROVAL PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C PRIOR TO THE INITIAL ELECTION OF ANY DIRECTOR OR KEY EMPLOYEE, AND ANNUALLY THEREAFTER, THEY SHALL COMPLETE, SIGN AND SUBMIT TO THE BOARD SECRETARY A WRITTEN STATEMENT IDENTIFYING, TO THE BEST OF THEIR KNOWLEDGE, ANY INSTANCE IN WHICH THEY MIGHT HAVE A CONFLICT OF INTEREST, THE DEFINITION OF WHICH IS FURTHER EXPLAINED IN THE ORGANIZATION'S BY-LAWS. PROMPTLY UPON LEARNING OF SUCH A CONFLICT, THE PERSON SHALL DISCLOSE THE MATERIAL FACTS CONCERNING SUCH CONFLICT TO THE EXECUTIVE DIRECTOR WHO SHALL REFER IT TO THE AUDIT COMMITTEE OR IN A MEETING OF THE BOARD OF DIRECTORS, IN WHICH CASE IT WILL BE RECORDED IN THE MINUTES OF THAT MEETING. THE INTERESTED PERSON MAY EXPLAIN THE CIRCUMSTANCES OF THE CONFLICT OF INTEREST TO THE BOARD BUT SHALL NOT BE PRESENT AT OR PARTICIPATE IN THE BOARD DELIBERATION OR VOTE ON THE MATTER, AND SHALL NOT ATTEMPT TO INFLUENCE THE DELIBERATION OR VOTE IN ANY WAY. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE OF THE ORGANIZATION. ALSO, THIS PROCESS INCLUDES THE USE OF COMPARABLE COMPENSATION DATA AS WELL AS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 1023 AND 990 ARE AVAILABLE UPON REQUEST AS WELL AS THROUGH THE WEBSITE GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON SUBMISSION OF A FORMAL WRITTEN REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM LAST YEAR. THE BRISTOL HOME INC 1500 MAIN STREET BUFFALO NY 14209 160743044 HOME FOR ELDERLY WOMEN NY 501(C)(3) 10 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0