2018-08-13T14:33:05-05:00 2017-09-30 061009205 BLUM SHAPIRO & COMPANY PC ONE INTERNATIONAL PLACE 16TH FLOOR BOSTON MA 02110 990 2016-10-01 205096169 SEABURY AT HOME INCORPORATED SEAB 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 A RAYMOND MADORIN DIRECTOR 8602860243 2018-08-13 1 LAURA J KENNEY P00202198 6172211944 2018-08-13 2016 2022-09-23 18:48:47Z A RAYMOND MADORIN 200 SEABURY DRIVE BLOOMFIELD CT 060022650 1716896 0 X N/A X 2006 CT TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY. 7 6 0 0 0 0 0 0 1601776 1460326 1001 -194525 98796 212977 1701573 1478778 0 0 0 0 0 0 0 0 0 1514876 1848666 1514876 1848666 186697 -369888 11496279 11138048 11528054 11539711 -31775 -401663 TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY. 0 0 1546562 1653822 TO PROVIDE, SPONSOR, INITIATE, DEVELOP, OPERATE AND MAINTAIN FACILITIES AND PROGRAMS FOR THE DELIVERY OF HEALTH CARE, PERSONAL CARE AND SUPPORT SERVICES TO THE ELDERLY DESIGNED TO PROMOTE AND EXTEND OPPORTUNITIES FOR INDEPENDENT LIVING AND PERSONAL HEALTH. 1546562 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 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 1 0 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 6 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X DAVID GREENBLATT CONTROLLER 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 DR DONNA R GALLUZZO DIRECTOR 0.30 0.60 X 0 0 0 WINIFRED GRANGER DIRECTOR 0.30 0.30 X 0 0 0 JOHN F KEARNS III DIRECTOR 0.30 0.00 X 0 0 0 A RAYMOND MADORIN DIRECTOR 0.30 0.90 X 0 0 0 REV JEFFREY S DUGAN PRESIDENT 0.30 0.00 X X 0 0 0 JOSEPH P MERRITT TREASURER & SECRETARY 0.30 0.00 X X 0 0 0 RICHARD C HEATH VICE PRESIDENT 0.30 40.30 X X 0 326068 41060 0 326068 41060 0 0 1 0 CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DR BLOOMFIELD CT 06002 CONTRACTED STAFFING 1456178 1 HOME HEALTH SERV. FEES 621610 1135945 1135945 AMORT OF ENTRANCE FEES 621610 324381 324381 1460326 43593 43593 19481 0 19481 19481 19481 238118 -238118 -238118 -238118 MISCELLANEOUS 900099 193496 193496 193496 1478778 1653822 0 -175044 5570 5570 280576 280576 19498 9749 9749 22911 22911 50978 50978 21292 21292 CONTRACTED SERVICES 1378649 1378649 TAXES AND LICENSES 32057 32057 MISCELLANEOUS 27821 21612 6209 REMOVAL SERVICES 9314 9314 1848666 1546562 302104 0 77566 523351 6643372 6230988 1429490 1256060 3513 33808 952235 321203 881160 631032 2461178 2462809 11496279 11138048 247433 432226 6490184 7608799 4790437 3498686 11528054 11539711 X -31775 -401663 -31775 -401663 11496279 11138048 -369888 0 X 0 1 X 1 0 X 902048 1153112 1490820 1681091 1653822 6880893 902048 1153112 1490820 1681091 1653822 6880893 0 0 0 6880893 24983 20119 20729 36989 63074 165894 24983 20119 20729 36989 63074 165894 927031 1173231 1511549 1718080 1716896 7046787 0.97650 0.97940 0.02350 0.02060 X 315692 315692 545793 276582 269211 90750 44621 46129 631032 SEABURY AT POWDER FOREST 2462809 C 2462809 ENTRANCE FEES REFUNDS PAYABLE 3181392 LOAN PAYABLE TO RELATED PARTY 317294 3498686 1478778 0 1478778 0 1478778 1848666 0 1848666 0 1848666 0 0 0 0 0 0 0 0 0 RICHARD C HEATH VICE PRESIDENT 0 326068 0 0 0 0 0 27006 0 14054 0 367128 0 0 PART I, LINE 3 THE VICE PRESIDENT IS COMPENSATED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH HIS COMPENSATION: A COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR A COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 OFFICER RICHARD C. HEATH HAS A BUSINESS RELATIONSHIP WITH BOARD MEMBERS DR. DONNA R. GALLUZZO AND A. RAYMOND MADORIN. HE IS EMPLOYED BY A RELATED ORGANIZATION OF WHICH THEY ARE ALSO BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. THE SOLE MEMBER AND BENEFICIARY OF THE ORGANIZATION IS CHURCH HOME OF HARTFORD, INCORPORATED. FORM 990, PART VI, SECTION A, LINE 7A CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. AS MEMBERS, THEY ELECT THE BOARD OF DIRECTORS FOR SEABURY AT HOME INCORPORATED. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BYLAWS AND ARTICLES MUST BE APPROVED BY MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AFTER FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REVIEWING THE POLICY AT BOARD ORIENTATION AND AT BOARD MEETINGS THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE VICE PRESIDENT/CEO IS COMPENSATED BY CHURCH HOME OF HARTFORD, INCORPORATED, THEREFORE, HIS COMPENSATION IS DETERMINED BY THE BOARD OF CHURCH HOME OF HARTFORD. COMPENSATION IS DETERMINED USING A REVIEW OF LIKE ORGANIZATIONS, FORM 990 REPORT FOR TOP PAID EMPLOYEES, AND USE OF ASSOCIATION WAGE SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE DOCUMENTS ARE RETAINED IN SEABURY'S LIBRARY AND ARE AVAILABLE UPON REQUEST. CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 060293500 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY CT 501(C)(3) LINE 10 0 SEABURY CHARITABLE FOUNDATIONINC 200 SEABURY DRIVE BLOOMFIELD CT 06002 061458630 TO PROVIDE SUPPORT TO CHURCH HOME OF HARTFORD CT 501(C)(3) LINE 12A, I CHURCH HOME OF HARTFORD INCORPORATED 1 SEABURY AT POWDER FOREST LLC 200 SEABURY DRIVE BLOOMFIELD CT 06002 474481221 REAL ESTATE CT N/A RELATED -60716 2462809 0 0 0.50000 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 0 0