CEDARBROOK VILLAGE INCORPORATED: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CEDARBROOK VILLAGE INCORPORATED (EIN 20-0670083)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-12
IRS object ID
201701329349304495
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-12T14:19:21-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161226221PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13214ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200670083EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CEDARBROOK VILLAGE INCORPORATEDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCEDABusinessNameControlTxt
Phone3157973114PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12050 TILDEN AVEAddressLine1Txt
CityNEW HARTFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP134133630ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTA SERAFINPersonNm
Person TitleCEOPersonTitleTxt
Phone3157973114PhoneNum
Signature2017-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA M FRANCOPreparerPersonNm
PTINP00589741PTIN
Phone3154463600PhoneNum
Preparation2017-05-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.39.85.114IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-11IPDt
IP Tm16:35:13IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF2DA1F6750C88AB2A9B4F1EE63F15EFB0D07AC5DAtSubmissionCreationDeviceId
At Submission Filing Device Id315614A2A569D91B0F4A84342C1D145A8997199DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTA SERAFINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12050 TILDEN AVEAddressLine1Txt
CityNEW HARTFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP134133630ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,140,664GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SITRIN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSENIOR ENRICHED HOUSING AND ASSISTED LIVING PROGRAM.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee77TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$50PYContributionsGrantsAmt
CY Contributions Grants$9,902CYContributionsGrantsAmt
PY Program Service Revenue$2,031,065PYProgramServiceRevenueAmt
CY Program Service Revenue$2,109,859CYProgramServiceRevenueAmt
PY Investment Income$742PYInvestmentIncomeAmt
CY Investment Income$3,879CYInvestmentIncomeAmt
PY Other Revenue$19,732PYOtherRevenueAmt
CY Other Revenue$16,925CYOtherRevenueAmt
PY Total Revenue$2,051,589PYTotalRevenueAmt
CY Total Revenue$2,140,565CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,047,245PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,077,519CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$954,450PYOtherExpensesAmt
CY Other Expenses$958,026CYOtherExpensesAmt
PY Total Expenses$2,001,695PYTotalExpensesAmt
CY Total Expenses$2,035,545CYTotalExpensesAmt
PY Revenues Less Expenses$49,894PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$105,020CYRevenuesLessExpensesAmt
Total Assets BOY$7,361,525TotalAssetsBOYAmt
Total Assets EOY$7,295,269TotalAssetsEOYAmt
Total Liabilities BOY$3,058,949TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,817,198TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,302,576NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,478,071NetAssetsOrFundBalancesEOYAmt
MissionCEDARBROOK IS A LICENSED ASSISTED LIVING PROVIDER REGULATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. CEDARBROOK IS AFFILIATED WITH SITRIN HEALTH CARE CENTER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,860,373ExpenseAmt
Revenue$2,126,784RevenueAmt
DescCEDARBROOK 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 2016, CEDARBROOK'S TOTAL RESIDENT DAYS WERE 18,828 WITH A TOTAL OF 70 SENIORS SERVED.Desc
Total Program Service Expenses$1,860,373TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee77EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTA SERAFINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3157973114PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12050 TILDEN AVEAddressLine1Txt
CityNEW HARTFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13413ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MICHAEL DAMSKY
DIRECTOR0.501.50Yes (X)$0$0$0
MARSHA SILVERMAN
SECRETARY2.006.00Yes (X)$0$0$0Yes (X)
EDWARD KOWALSKY
DIRECTOR0.506.50Yes (X)$0$0$0
MICHAEL COMINSKY
TREASURER2.008.00Yes (X)$0$0$0Yes (X)
DR SUSAN BLATT
VICE CHAIRPERSON2.0018.50Yes (X)$0$60,000$0Yes (X)
NEIL COHEN
DIRECTOR0.500.00Yes (X)$0$0$0
MICHAEL SILVERMAN
CHAIRMAN2.009.00Yes (X)$0$0$0Yes (X)
MARK SMITH
DIRECTOR0.501.50Yes (X)$0$0$0
ADELE SOSSEN
DIRECTOR0.501.00Yes (X)$0$0$0
RICHARD WILSON
VP OF STRATEGIC PLANNI1.0037.50$0$118,021$1,840Yes (X)
CHRISTA SERAFIN
CHIEF EXECUTIVE OFFICER1.0037.50$0$226,593$12,000Yes (X)
BRENDA COBANE
VP OF ASSISTED LIVING32.505.00$98,708$0$15,065Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$98,708TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$404,614TotReportableCompRltdOrgAmt
Total Other Compensation$28,905TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$9,557GovernmentGrantsAmt
All Other Contributions$345AllOtherContributionsAmt
Total Contributions$9,902TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623311$2,061,179$2,061,179
SHARED SERVICES561000$26,286$26,286
APPLICATION REVENUE623311$8,750$8,750
GUEST MEALS623311$8,129$8,129
GARAGE RENTAL623311$2,850$2,850

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,665TotalRevenueColumnAmt
Related Or Exempt Func Income$2,665RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,109,859TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,978TotalRevenueColumnAmt
Exclusion$3,978ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$99OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$99OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$99TotalRevenueColumnAmt
Exclusion-$99ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CABLE REVENUE623311$15,315$15,315
MISCELLANEOUS623311$1,297$1,297
FORFEITED SECURITY DEP623311$313$313
FieldValueIRS element (for citing)
Other Revenue Total$16,925OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,140,565TotalRevenueColumnAmt
Related Or Exempt Func Income$2,126,784RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,879ExclusionAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$113,708TotalAmt
Management And General$113,708ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$775,212TotalAmt
Program Services$743,911ProgramServicesAmt
Management And General$31,301ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,446TotalAmt
Program Services$7,778ProgramServicesAmt
Management And General$3,668ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$117,358TotalAmt
Program Services$115,558ProgramServicesAmt
Management And General$1,800ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$59,795TotalAmt
Program Services$50,038ProgramServicesAmt
Management And General$9,757ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$77,169TotalAmt
Program Services$77,169ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,261TotalAmt
Program Services$1,261ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,962TotalAmt
Management And General$8,962ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,577TotalAmt
Program Services$9,577ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,975TotalAmt
Program Services$7,975ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$235,036TotalAmt
Program Services$235,036ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,449TotalAmt
Program Services$5,602ProgramServicesAmt
Management And General$1,847ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$416,336TotalAmt
Program Services$416,336ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
FOOD/BEVERAGE EXPENSE$124,808$124,808
REPAIRS & MAINTENANCE E$18,106$18,106
HOUSEKEEPING & LAUNDRY$10,448$10,448
DURABLE/DISPOSABLE DIET$7,550$7,550

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$33,349TotalAmt
Program Services$29,220ProgramServicesAmt
Management And General$4,129ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,035,545TotalAmt
Program Services$1,860,373ProgramServicesAmt
Management And General$175,172ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$147,689BOYAmt
EOY$397,419EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$544,847BOYAmt
EOY$663,623EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,826BOYAmt
EOY$29,379EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$219,832BOYAmt
EOY$248,485EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,465BOYAmt
EOY$8,361EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,253BOYAmt
EOY$6,306EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,065,811LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,141,426LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,302,226BOYAmt
EOY$5,924,385EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$110,387BOYAmt
EOY$17,311EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,361,525BOYAmt
EOY$7,295,269EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$125,298BOYAmt
EOY$130,574EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,615,000BOYAmt
EOY$2,452,950EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$318,651BOYAmt
EOY$233,674EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,058,949BOYAmt
EOY$2,817,198EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,302,576BOYAmt
EOY$4,478,071EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,302,576BOYAmt
EOY$4,478,071EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,361,525BOYAmt
EOY$7,295,269EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$105,020ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,973NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$67,502OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,155CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50CurrentTaxYearMinus1YearAmt
Current Tax Year$9,902CurrentTaxYearAmt
Total$11,107TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,833,633CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,930,112CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,035,849CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,031,065CurrentTaxYearMinus1YearAmt
Current Tax Year$2,109,859CurrentTaxYearAmt
Total$9,940,518TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,833,633CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,930,112CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,037,004CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,031,115CurrentTaxYearMinus1YearAmt
Current Tax Year$2,119,761CurrentTaxYearAmt
Total$9,951,625TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$9,951,625PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$764CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$680CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$742CurrentTaxYearMinus1YearAmt
Current Tax Year$3,978CurrentTaxYearAmt
Total$7,158TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$764CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$680CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$742CurrentTaxYearMinus1YearAmt
Current Tax Year$3,978CurrentTaxYearAmt
Total$7,158TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,182CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,136CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,891CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,732CurrentTaxYearMinus1YearAmt
Current Tax Year$16,925CurrentTaxYearAmt
Total$101,866TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,859,809CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,949,012CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,059,575CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,051,589CurrentTaxYearMinus1YearAmt
Current Tax Year$2,140,664CurrentTaxYearAmt
Total$10,060,649TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98920PublicSupportCY509Pct
Public Support PY5090.98850PublicSupportPY509Pct
Investment Income CY0.00070InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,660OtherCostOrOtherBasisAmt
Book Value$12,660BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,320,185OtherCostOrOtherBasisAmt
Depreciation$2,654,807DepreciationAmt
Book Value$5,665,378BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$713,048OtherCostOrOtherBasisAmt
Depreciation$483,312DepreciationAmt
Book Value$229,736BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,918OtherCostOrOtherBasisAmt
Depreciation$3,307DepreciationAmt
Book Value$16,611BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,924,385TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
CASH HELD IN TRUST FOR RESIDENTS$17,311
SECURITY DEPOSITS FROM RESIDENTS$116,861
INTEREST RATE SWAP LIABILITY$99,502
FieldValueIRS element (for citing)
Total Liability$233,674TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,211,040TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,973NetUnrealizedGainsInvstAmt
Other Revenue$67,502OtherRevenueAmt
Revenue Not Reported$70,475RevenueNotReportedAmt
Revenue Subtotal$2,140,565RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,140,565TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,035,545TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,035,545ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,035,545TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2016 AND 2015, 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 2013 THROUGH 2016. CEDARBROOK DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN FV OF INTEREST RATE SWAP 67,502.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonCHRISTA SERAFINPersonNm
TitleCHIEF EXECUTIVE OFFICERTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$226,593CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$226,593TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ONEIDA COUNTY INDUSTRIAL DEVELOPMENT AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN090210781BondIssuerEIN
CUSIP682465CD9CUSIPNum
Bond Issued2007-06-28BondIssuedDt
Issue Price$3,000,000IssuePriceAmt
PurposeTO CONSTRUCT ENRICHED HOUSING ASSISTED LIVING APARTMENTSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$3,105,333TotalProceedsAmt
Capitalized Interest$169,177CapitalizedInterestAmt
Issuance Costs From Proceeds$93,146IssuanceCostsFromProceedsAmt
Credit Enhancement$23,031CreditEnhancementAmt
Capital Expenditures$2,819,979CapitalExpendituresAmt
Substantial Completion2009SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1FIRST NIAGARA BANKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge10.000000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I LINE A, PART II LINE 3FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. IS THE SOLE MEMBER OF CEDARBROOK VILLAGE INCORPORATED.
FORM 990, PART VI, SECTION A, LINE 7AAS 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 11BTHE BOARD MEMBERS REVIEWED THE 990 AT THE MAY 2017 BOARD MEETING PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 19ALL 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 67,502.
FORM 990, PAGE 7, PART VIITHE FOLLOWING OFFICER IS ALSO AN OFFICER OF RELATED ENTITY, CHARLES T. SITRIN HEALTH CARE CENTER, INC. -CHRISTA SERAFIN

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CHARLES T SITRIN HEALTH CARE CENTER INC
2050 TILDEN AVENEW HARTFORDNY13413223100745SKILLED NURSING/OUTPATIENT REHAB FACILITYNY501(C)3LINE 10CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC0
CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC
2050 TILDEN AVENEW HARTFORDNY13413150543936SOLE MEMBER OF OTHER CORPORATIONSNY501(C)3LINE 70N/A
GEORGIAN COURT ESTATES SENIOR HOUSING CORP
2050 TILDEN AVENEW HARTFORDNY13413204288247SENIOR HOUSINGNY501(C)3LINE 10CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC0
GAN KAVOD INC
PO BOX 634NEW HARTFORDNY13413223032483INTERMEDIATE CARE FACILITY & INDIVIDUALIZED RESIDENTIAL ALTERNATIVENY501(C)3LINE 10CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC0
SITRIN CHILD DAY CARE FACILITY INC
3 KAVOD ROADNEW HARTFORDNY13413161484534CHILD DAY CARE CENTERNY501(C)3LINE 10CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC0
SITRIN FOUNDATION INC
2050 TILDEN AVENEW HARTFORDNY13413300098393FOUNDATIONNY501(C)3LINE 12A, ICHARLES T SITRIN NETWORK OF HOMES & SERVICES INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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