2019-11-11T14:43:00-06:00 2018-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2018-01-01 200670083 CEDARBROOK VILLAGE INCORPORATED CEDA 3157973114 2050 TILDEN AVE NEW HARTFORD NY 134133630 CHRISTA SERAFIN CEO 3157973114 2019-11-07 1 DEBORAH STUCK P01281391 3154463600 2019-11-07 24.39.85.114 2019-11-07 13:06:48 ES P 8A06FEF07356F7C90A9824A760A1509B37C56892 B8C5F40B2B3D88A0A8DAC4C2F3911A4184EEA169 2018 2020-03-31 21:24:44Z CHRISTA SERAFIN 2050 TILDEN AVE NEW HARTFORD NY 134133630 2045248 0 X WWW.SITRIN.COM X 2004 NY SENIOR ENRICHED HOUSING AND ASSISTED LIVING PROGRAM. 8 8 71 0 0 0 3047 4022 2112639 2089664 11291 15056 17053 -64468 2144030 2044274 0 0 0 0 1072795 1094727 0 0 0 1035950 1082619 2108745 2177346 35285 -133072 7259702 7066865 2659974 2605855 4599728 4461010 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 2016523 2025450 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 2018, CEDARBROOK'S TOTAL RESIDENT DAYS WERE 18,909 WITH A TOTAL OF 71 SENIORS SERVED. 2016523 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 7 0 1 71 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 2.00 X 0 0 0 MARSHA SILVERMAN SECRETARY 2.00 6.00 X X 0 0 0 EDWARD KOWALSKY DIRECTOR 0.50 6.50 X 0 0 0 MICHAEL COMINSKY TREASURER 2.00 9.00 X X 0 0 0 DR SUSAN BLATT VICE CHAIRPERSON 2.00 3.50 X X 0 0 0 MICHAEL SILVERMAN CHAIRMAN 2.00 9.00 X X 0 0 0 MARK SMITH DIRECTOR 0.50 2.00 X 0 0 0 ADELE SOSSEN DIRECTOR 0.50 2.50 X 0 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 1.00 37.50 X 0 211337 12960 DAVID WALLACE VP OF ASSISTED LIVING 32.50 5.00 X 44520 0 1920 ANDREA FOX VP OF ASSISTED LIVING THROUGH 6/18 37.50 0.00 X 50773 0 4424 95293 211337 19304 0 0 1 0 0 4022 4022 RESIDENT SERVICES 623311 2064471 2064471 APPLICATION REVENUE 623311 7750 7750 GUEST MEALS 623311 7526 7526 GARAGE RENTAL 623311 3600 3600 BED HOLD REVENUE 623311 3234 3234 3083 3083 2089664 14802 14802 1228 827 147 401 -147 254 254 CABLE REVENUE 623311 14925 14925 FORFEITED SECURITY DEP 623311 2397 2397 LOSS ON MORTGAGE REFIN 900099 -83110 -83110 1320 1320 -64468 2044274 2025450 0 14802 101637 101637 847038 822543 24495 8589 7943 646 69680 63920 5760 67783 58133 9650 177000 177000 1317 1317 9456 9456 18425 18425 235 235 7709 7709 240392 240392 9390 5523 3867 417638 417638 FOOD/BEVERAGE EXPENSE 89718 89718 DURABLE/DISPOSABLE DIET 40733 40733 REPAIRS & MAINTENANCE E 17966 17966 52640 47328 5312 2177346 2016523 160823 0 289889 233517 1002813 1084300 27892 53637 241103 279442 9009 5688 1850 3813 9356938 3967519 5672409 5389419 14737 17049 7259702 7066865 109771 99703 2382420 2367657 167783 138495 2659974 2605855 X 4599728 4461010 4599728 4461010 7259702 7066865 X -133072 -40412 34766 X X 0 1 X 1 0 X 1155 50 9902 3047 4022 18176 2035849 2031065 2109859 2112639 2089664 10379076 2037004 2031115 2119761 2115686 2093686 10397252 0 0 0 10397252 680 742 3978 11282 14802 31484 680 742 3978 11282 14802 31484 21891 19732 16925 17053 18642 94243 2059575 2051589 2140664 2144021 2127130 10522979 0.98810 0.98930 0.00300 0.00170 X 12660 12660 8361064 3336142 5024922 950995 624981 326014 32219 6396 25823 5389419 CASH HELD IN TRUST FOR RESIDENTS 17049 SECURITY DEPOSITS FROM RESIDENTS 121446 138495 X 2038629 -40412 34767 -5645 2044274 0 2044274 2177346 0 2177346 0 2177346 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, 2018 AND 2017, 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 2015 THROUGH 2018. CEDARBROOK DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 34,767. X 1 1 X X 0 0 0 0 0 0 0 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER 0 211337 0 0 0 0 0 0 0 12960 0 224297 0 0 A ONEIDA COUNTY INDUSTRIAL DEVELOPMENT AGENCY 090210781 682465CD9 2007-06-28 3000000 TO CONSTRUCT ENRICHED HOUSING ASSISTED LIVING APARTMENTS 0 0 0 A 3105333 169177 93146 23031 2819979 2009 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 1 FIRST NIAGARA BANK 10.000000000000 0 0 0 0 0 A 0 PART I LINE A, PART II LINE 3 THE DIFFERENCE BETWEEN PART I'S LISTED ISSUE PRICE OF $3,000,000 AND PART II'S, LINE 3, TOTAL PROCEEDS OF ISSUE, IS THE RESULT OF INVESTMENT EARNINGS ON THE PROCEEDS DURING THE CONSTRUCTION PHASE OF THE PROJECT. ALL EARNINGS WERE SPENT ON THE PROJECT AS SHOWN IN PART II, LINES 5-12. 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 2019 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, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 34,766. 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 GEORGIAN COURT ESTATES SENIOR HOUSING CORP 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 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0