CENTRAL BAPTIST HOME FOR THE AGED: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CENTRAL BAPTIST HOME FOR THE AGED (EIN 36-1952520)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-21
IRS object ID
201702649349300220
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)
Return2017-09-21T12:21:36-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S Riverside Plaza 9th FloorAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN361952520EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL BAPTIST VILLAGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone7085838500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14747 N CANFIELDAddressLine1Txt
CityNORRIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60706ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLori AltmanPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7085838500PhoneNum
Signature2017-09-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid LowenthalPreparerPersonNm
PTINP00378651PTIN
Phone3122071040PhoneNum
Preparation2017-09-19PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.59.56.32IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-19IPDt
IP Tm14:30:21IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDB9F6EC6B2525BE695A0F6A3416F111A0CBD532AAtSubmissionCreationDeviceId
At Submission Filing Device Id75C7EC6AC54A61BA087900A4F9B91D17BA572CD0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDawn MondscheinPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14747 N CANFIELDAddressLine1Txt
CityNORRIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60706ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,742,618GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CBVILLAGE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1896FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or Missionsee schedule oActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee315TotalEmployeeCnt
Total Volunteers77TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$88,253PYContributionsGrantsAmt
CY Contributions Grants$321,267CYContributionsGrantsAmt
PY Program Service Revenue$15,067,068PYProgramServiceRevenueAmt
CY Program Service Revenue$16,195,837CYProgramServiceRevenueAmt
PY Investment Income$4,965,103PYInvestmentIncomeAmt
CY Investment Income$845,158CYInvestmentIncomeAmt
PY Other Revenue$173,229PYOtherRevenueAmt
CY Other Revenue$164,955CYOtherRevenueAmt
PY Total Revenue$20,293,653PYTotalRevenueAmt
CY Total Revenue$17,527,217CYTotalRevenueAmt
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$9,776,057PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,906,491CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,280,439PYOtherExpensesAmt
CY Other Expenses$7,487,621CYOtherExpensesAmt
PY Total Expenses$17,056,496PYTotalExpensesAmt
CY Total Expenses$17,394,112CYTotalExpensesAmt
PY Revenues Less Expenses$3,237,157PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$133,105CYRevenuesLessExpensesAmt
Total Assets BOY$61,200,505TotalAssetsBOYAmt
Total Assets EOY$62,273,108TotalAssetsEOYAmt
Total Liabilities BOY$22,594,739TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,053,520TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,605,766NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,219,588NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS SET FORTH IN PART I, LINE 1, CENTRAL BAPTIST VILLAGE IS A CHARITABLE AND RELIGIOUS NOT-FOR-PROFIT ORGANIZATION, ESTABLISHED UNDER THE SPONSORSHIP OF NORTH AMERICAN BAPTIST CONFERENCE OF CHURCHES. OUR MISSION EMBRACES A FULL RANGE OF HUMAN NEEDS OF THE ELDERLY AND IS LIMITED ONLY BY OUR IMAGINATION, OUR SKILLS, OUR RESOURCES, AND OUR WILLINGNESS TO PROMOTE MEANINGFUL CHANGE. BEYOND CARING FOR THE ELDERLY'S COMFORT, SAFETY, SECURITY, AND GOOD HEALTH CARE, WE ATTEMPT TO PROMOTE THE QUALITY OF THEIR LIVES AND CREATE A BALANCE BETWEEN PROVIDING CARE TO THE ELDERLY AND DEALING EFFECTIVELY WITH PEOPLE AND SITUATIONS OF THE WORLD AROUND US. THIS INCLUDES GROWING IN SPIRITUAL WHOLENESS AND UNDERSTANDING THE MEANING OF LIFE, AGING, AND DEATH.FOR MORE DETAIL ON OUR COMMITMENT AND MISSION, PLEASE SEE THE ATTACHED CENTRAL BAPTIST VILLAGE MISSION STATEMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,777,240ExpenseAmt
Revenue$16,369,159RevenueAmt
DescAS PART OF OUR MISSION AT CENTRAL BAPTIST VILLAGE, WE PLEDGE TO SUPPORT OUR RESIDENTS WHEN THEY DEPLETE THEIR FUNDS. WE HAVE MAINTAINED IN RESIDENCE ALL RESIDENTS WHO HAVE BECOME, THROUGH NO FAULT OF THEIR OWN, UNABLE TO PAY THEIR REGULAR CHARGES. THROUGH OUR OWN ENDOWMENT PROGRAM (MADE POSSIBLE BY THE GENEROUS CONTRIBUTIONS OF OTHER CHURCHES, CHARITABLE ORGANIZATIONS, AND PEOPLE WHO BELIEVE IN AND SUPPORT THE PURPOSE, PROGRAMS, AND MISSION OF OUR COMMUNITY), WE EXTEND A HELPING HAND OF CHARITY IN THE TRUE EXAMPLE OF CHRIST AND HIS MINISTRY. OUR CHARITY APPLIES ALSO TO PERSONS OUTSIDE THE COMMUNITY WHO DO NOT HAVE THE FINANCIAL RESOURCES TO PAY THE COMMUNITY'S FEES AND CHARGES. WE ASSIST THEM, IN PART OR IN FULL, TO THE BEST OF OUR GOD GIVEN ABILITIES. IN ACCORDANCE WITH OUR BYLAWS, WE WILL WAIVE OR REDUCE, BASED ON AN INDIVIDUAL'S ABILITY TO PAY, ANY ENTRANCE FEE, ASSIGNMENT OF ASSETS, OR FEE FOR SERVICES. THIS CHARITY IS AVAILABLE TO ALL WHO NEED AND APPLY FOR IT. IN ADDITION, PROVIDING SERVICES TO OUR SKILLED NURSING RESIDENCES UNDER MEDICAID (10,689 MEDICAID DAYS IN 2016), PAYMENTS FOR WHICH DO NOT MEET OUR COSTS, WE FURTHER PRESERVE THEIR RESOURCES. OUTSIDE OF SKILLED NURSING, WE SUPPORT RESIDENTS IN OUR INDEPENDENT AND ASSISTED LIVING RESIDENCES WHO HAVE A NEED THROUGH OUR ENDOWMENT PROGRAM. IN ADDITION, WE HAVE FORGIVEN RESIDENTS' DEBT, DONATED CEMETERY PLOTS, AND PAID FOR FUNERALS AND MEMORIAL SERVICES IN OUR CHAPEL. CENTRAL BAPTIST VILLAGE ALSO EXTENDS ITS CHARITY TO THE LOCAL COMMUNITY AT LARGE. WE ARE A MAJOR CONTRIBUTOR TO THE SENIORS ASSISTANCE CENTER, SUPPORT THE HOME DELIVERED MEALS PROGRAM, HOST SAC VOLUNTEER LUNCHEONS, AND PROVIDE COMPLIMENTARY HEALTH SCREENING AND PRESENTATIONS FOR AREA OLDER ADULTS. ADDITIONALLY, CERTAIN CENTRAL BAPTIST VILLAGE EDUCATIONAL PROGRAMS ASSIST OUR LOCAL COMMUNITY TO LEARN AND MANAGE A MYRIAD OF RELEVANT TOPICS ON SUCCESSFUL AGING. EXAMPLES OF THOSE PROGRAMS ARE AGING CARE CONNECTIONS BENEFITS FAIR, TOTAL MEMORY WORKOUT, MEMORY SCREENING DAY, HEALTH CARE DECISIONS DAY, AND ANNUAL SENIOR HEALTH AND FITNESS DAY. WE SUPPORT MANY SCHOOLS WITH THEIR CNA TRAINING PROGRAMS, INTERNSHIP PLACEMENT SERVICES, AND PROFESSIONAL CONTINUING EDUCATIONAL SEMINARS, WHICH PROVIDE A COMPREHENSIVE EDUCATIONAL EXPERIENCE FOR INDIVIDUALS SEEKING TO WORK IN THE GERONTOLOGY FIELD. WE OFFER STIMULATING INTER-GENERATIONAL PROGRAMMING TO ENCOURAGE MUTUAL LEARNING, MENTORING, AND ENTERTAINMENT AND TO ENHANCE THE QUALITY OF LIFE FOR ALL PARTICIPANTS. IN OUR ON-GOING EFFORT TO SUPPORT A LOCAL CHURCH ON OUR PROPERTY, WE PROVIDE THE LAND FOR CHURCH OF OUR SAVIOR AND DONATE 20 PARKING SPOTS IN OUR COMMUNITY'S PARKING LOT FOR NORRIDGE COMMUNITY RESIDENTS' PARKING NEEDS. THESE EXAMPLES DO NOT CAPTURE ALL OF OUR ACTIVITIES, BUT THEY GIVE A PICTURE OF OUR CHARITABLE AND RELIGIOUS MISSION. THE PURPOSE OF ALL OF OUR ACTIVITIES IS TO CARRY FORWARD THAT MISSION.Desc
Total Program Service Expenses$12,777,240TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee315EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LORI ALTMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7085838500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14747 N CANFIELD AVENUEAddressLine1Txt
CityNORRIDGECityNm
State AbbreviationILStateAbbreviationCd
ZIP60706ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN SMITH
PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
JAMES RENKE
VICE PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
JULIE ADAMS
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
JUDITH DUNNE BERNARDI
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
LIONEL BARNES
DIRECTOR1.000.00Yes (X)$0$0$0
RAYMOND MCGOVERN
DIRECTOR1.000.00Yes (X)$0$0$0
PAUL ODLYZKO
DIRECTOR1.000.00Yes (X)$0$0$0
DUSHYANT PATEL
DIRECTOR1.000.00Yes (X)$0$0$0
CARLO SALVADOR
DIRECTOR1.000.00Yes (X)$0$0$0
DAVID FAULK
DIRECTOR1.000.00Yes (X)$0$0$0
CONNIE LEEPER
DIRECTOR1.000.00Yes (X)$0$0$0
MARY COBAN
DIRECTOR1.000.00Yes (X)$0$0$0
CAROLYN JOHNSON
DIRECTOR1.000.00Yes (X)$0$0$0
RICH GUSTAFSON
DIRECTOR1.000.00Yes (X)$0$0$0
BRUCE FIELDS
DIRECTOR1.000.00Yes (X)$0$0$0
DAWN MONDSCHEIN
EXECUTIVE DIRECTOR40.000.00Yes (X)$170,660$0$27,089
LORI ALTMAN
CHIEF FINANCIAL OFFICER40.000.00Yes (X)$152,165$0$20,182
KAREN HAEDO
DIRECTOR OF NURSING40.000.00$121,219$0$24,216Yes (X)
JULIE STEVENS
DIRECTOR OF SALES & MARKETING40.000.00$120,581$0$24,743Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$564,625TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$96,230TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA30368OPERATIONS MANAGEMENT$1,727,863
ALLIANCE REHAB
1520 KENSINGTON ROADOAK BROOKIL60523REHAB THERAPISTS$539,664
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$262,353RelatedOrganizationsAmt
All Other Contributions$58,914AllOtherContributionsAmt
Total Contributions$321,267TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING HOME FEES623000$11,872,219$11,872,219
MEDICARE/MEDICAID PAYMENTS623000$4,323,618$4,323,618
FieldValueIRS element (for citing)
Total Program Service Revenue$16,195,837TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$860,299TotalRevenueColumnAmt
Exclusion$860,299ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,200,260SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,215,401SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$15,141SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,141TotalRevenueColumnAmt
Exclusion-$15,141ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VILLAGE CAFE900099$59,082$59,082
BEAUTY/BARBER SHOP900099$53,933$53,933
TELEPHONE900099$28,202$28,202

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,738TotalRevenueColumnAmt
Related Or Exempt Func Income$23,738RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$164,955OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,527,217TotalRevenueColumnAmt
Related Or Exempt Func Income$16,360,792RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$845,158ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$370,096TotalAmt
Management And General$370,096ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,397,099TotalAmt
Program Services$6,502,569ProgramServicesAmt
Management And General$894,530ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$67,507TotalAmt
Program Services$46,734ProgramServicesAmt
Management And General$20,773ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,415,949TotalAmt
Program Services$1,268,507ProgramServicesAmt
Management And General$147,442ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$655,840TotalAmt
Program Services$559,365ProgramServicesAmt
Management And General$96,475ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$90,276TotalAmt
Program Services$90,276ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$64,937TotalAmt
Management And General$64,937ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$54,825TotalAmt
Management And General$54,825ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$112,529TotalAmt
Management And General$112,529ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$820,315TotalAmt
Program Services$608,842ProgramServicesAmt
Management And General$211,473ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$40,344TotalAmt
Management And General$40,344ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$97,988TotalAmt
Program Services$49,474ProgramServicesAmt
Management And General$48,514ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$103,933TotalAmt
Program Services$10,076ProgramServicesAmt
Management And General$93,857ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,959,296TotalAmt
Program Services$612,391ProgramServicesAmt
Management And General$1,346,905ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,270TotalAmt
Program Services$5,106ProgramServicesAmt
Management And General$4,164ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,118TotalAmt
Program Services$10,834ProgramServicesAmt
Management And General$24,284ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$72TotalAmt
Management And General$72ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,457,506TotalAmt
Program Services$1,069,019ProgramServicesAmt
Management And General$388,487ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$266,211TotalAmt
Program Services$24,685ProgramServicesAmt
Management And General$241,526ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
supplies$1,073,135$1,058,729$14,406
food$918,484$849,540$68,944
provider tax$282,869$282,869
RESIDENT ASSISTANCE$25,284$25,284

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$75,229TotalAmt
Program Services$11,093ProgramServicesAmt
Management And General$64,136ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,394,112TotalAmt
Program Services$12,777,240ProgramServicesAmt
Management And General$4,616,872ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,092,952BOYAmt
EOY$903,979EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,750,701BOYAmt
EOY$1,998,881EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,184,451BOYAmt
EOY$3,302,496EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$184,195BOYAmt
EOY$118,209EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,586,409LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,947,296LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$21,888,839BOYAmt
EOY$21,639,113EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$32,099,367BOYAmt
EOY$34,310,430EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,200,505BOYAmt
EOY$62,273,108EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$414,729BOYAmt
EOY$1,216,080EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,455,000BOYAmt
EOY$20,040,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,725,010BOYAmt
EOY$797,440EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,594,739BOYAmt
EOY$22,053,520EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,073,609BOYAmt
EOY$22,537,646EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,255BOYAmt
EOY$53,336EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,521,902BOYAmt
EOY$17,628,606EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,605,766BOYAmt
EOY$40,219,588EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,200,505BOYAmt
EOY$62,273,108EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$133,105ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$774,013NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$706,704OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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 Minus4 Years$26,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,782CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,814CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$88,253CurrentTaxYearMinus1YearAmt
Current Tax Year$50,547CurrentTaxYearAmt
Total$224,519TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,812,168CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,664,837CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,482,623CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,240,297CurrentTaxYearMinus1YearAmt
Current Tax Year$16,369,159CurrentTaxYearAmt
Total$72,569,084TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,838,291CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,688,619CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,518,437CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,328,550CurrentTaxYearMinus1YearAmt
Current Tax Year$16,419,706CurrentTaxYearAmt
Total$72,793,603TotalAmt

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$72,793,603PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,270,033CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,139,528CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,131,896CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,245,279CurrentTaxYearMinus1YearAmt
Current Tax Year$1,122,652CurrentTaxYearAmt
Total$5,909,388TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,270,033CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,139,528CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,131,896CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,245,279CurrentTaxYearMinus1YearAmt
Current Tax Year$1,122,652CurrentTaxYearAmt
Total$5,909,388TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,108,324CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,828,147CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,650,333CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,573,829CurrentTaxYearMinus1YearAmt
Current Tax Year$17,542,358CurrentTaxYearAmt
Total$78,702,991TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92490PublicSupportCY509Pct
Public Support PY5090.90140PublicSupportPY509Pct
Investment Income CY0.07510InvestmentIncomeCYPct
Investment Income PY0.08530InvestmentIncomePYPct
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,521,903BeginningYearBalanceAmt
Investment Earnings Or Losses$1,329,382InvestmentEarningsOrLossesAmt
Other Expenditures$1,146,186OtherExpendituresAmt
Administrative Expenses$76,493AdministrativeExpensesAmt
End Year Balance$17,628,606EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,605,633BeginningYearBalanceAmt
Investment Earnings Or Losses-$356,036InvestmentEarningsOrLossesAmt
Other Expenditures$648,494OtherExpendituresAmt
Administrative Expenses$79,200AdministrativeExpensesAmt
End Year Balance$17,521,903EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,558,632BeginningYearBalanceAmt
Investment Earnings Or Losses$806,706InvestmentEarningsOrLossesAmt
Other Expenditures$681,099OtherExpendituresAmt
Administrative Expenses$78,606AdministrativeExpensesAmt
End Year Balance$18,605,633EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,021,438BeginningYearBalanceAmt
Investment Earnings Or Losses$1,035,961InvestmentEarningsOrLossesAmt
Other Expenditures$410,912OtherExpendituresAmt
Administrative Expenses$87,855AdministrativeExpensesAmt
End Year Balance$18,558,632EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,836,160BeginningYearBalanceAmt
Investment Earnings Or Losses$1,783,247InvestmentEarningsOrLossesAmt
Other Expenditures$506,498OtherExpendituresAmt
Administrative Expenses$91,471AdministrativeExpensesAmt
End Year Balance$18,021,438EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$285,820OtherCostOrOtherBasisAmt
Book Value$285,820BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,698,823OtherCostOrOtherBasisAmt
Depreciation$13,155,030DepreciationAmt
Book Value$15,543,793BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,601,766OtherCostOrOtherBasisAmt
Depreciation$3,792,266DepreciationAmt
Book Value$5,809,500BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,639,113TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SECURITIES - NORTHERN TRUST$14,001,093C
PERPETUAL TRUSTS$17,628,606C
RESTRICTED FUNDS - AMALGAMATED$2,228,551C
BOND ISSUANCE COSTS$316,219C
CERTIFICATE OF DEPOSIT$135,961C
FieldValueIRS element (for citing)
Total Book Value Securities$34,310,430TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Security Deposits$595,521
Bond Premium$110,091
Resident Credit Balances$91,828
FieldValueIRS element (for citing)
Total Liability$797,440TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$19,007,934TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$774,013NetUnrealizedGainsInvstAmt
Other Revenue$706,704OtherRevenueAmt
Revenue Not Reported$1,480,717RevenueNotReportedAmt
Revenue Subtotal$17,527,217RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,527,217TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,394,112TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$17,394,112ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,394,112TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Endowment and Assistance Fund is used to provide financial assistance to residents who live in Independent or Assisted Living who are no longer able to afford their monthly fees.
Part XI, Line 2d - Other Adjustments:CHANGE IN VALUE OF PERPETUAL TRUSTS HELD BY OTHERS 706,704.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAWN MONDSCHEIN
EXECUTIVE DIRECTOR$166,910$0$3,750$0$0$0$12,832$0$14,257$0$197,749$0$0$0
LORI ALTMAN
CHIEF FINANCIAL OFFICER$149,165$0$3,000$0$0$0$12,620$0$7,562$0$172,347$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7FormAndLineReferenceDesc
ExplanationAS INDICATED IN SCHEDULE J, PART II, THE EXECUTIVE DIRECTOR RECEIVED A BONUS BASED UPON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THE BONUS WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Illinois Finance AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN861091967BondIssuerEIN
CUSIP45200B4K1CUSIPNum
Bond Issued2007-06-14BondIssuedDt
Issue Price$23,510,440IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$3,245,000RetiredAmt
Total Proceeds$24,478,541TotalProceedsAmt
In Reserve Fund$2,094,446InReserveFundAmt
Issuance Costs From Proceeds$470,209IssuanceCostsFromProceedsAmt
Working Capital Expenditures$2,345WorkingCapitalExpendituresAmt
Capital Expenditures$1,527,275CapitalExpendituresAmt
Other Spent Proceeds$21,930,801OtherSpentProceedsAmt
Substantial Completion2007SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
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 RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICYes (1)GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line1Natixis Funding CorBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of GIC22.400000000000TermOfGICPct
Regulatory Safe Harbor StsfdYes (1)RegulatorySafeHarborStsfdInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCH K, PART I, LINE A, COLUMN (F):RENOVATE FACILITY AND REFUND PRIOR ISSUES (11/10/1999).
SCH K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
SCH K, PART II, LINE 3:THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 - 12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.
SCH K, PART IV, LINE 2C:DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2012
SCH K, PART IV, LINE 5C, COLUMN A:THE GIC WAS TERMINATED ON 7/12/2012

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1:CENTRAL BAPTIST VILLAGE IS A CHARITABLE AND RELIGIOUS NOT-FOR-PROFIT ORGANIZATION, ESTABLISHED UNDER THE SPONSORSHIP OF NORTH AMERICAN BAPTIST CONFERENCE OF CHURCHES. THROUGH OUR CONTINUUM OF CARE COMMUNITY, CONSISTING OF INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, AND SKILLED NURSING RESIDENCES, WE MINISTER TO THE SPECIAL NEEDS OF OLDER ADULTS BY, AMONG OTHER THINGS, CARING FOR THEIR PHYSICAL, SPIRITUAL, AND EMOTIONAL NEEDS, PRESERVING THEIR DIGNITY AND INDEPENDENCE THROUGHOUT THEIR LATER YEARS, AND HELPING TO MAINTAIN THEIR FINANCIAL SECURITY. CENTRAL BAPTIST VILLAGE IS A HUMAN SERVICE ORGANIZATION OF THE CHURCH, GOVERNED AND GUIDED BY A VOLUNTEER BOARD OF DIRECTORS, WHO, AS DEDICATED SERVANTS OF THE CHURCH, RECOGNIZE THAT SERVING THE NEEDS OF THE ELDERLY IS A MEANINGFUL AND NECESSARY FIELD OF MINISTRY. FOR MORE DETAIL ON OUR COMMITMENT AND MISSION, PLEASE SEE FORM 990, PART III, LINE 1.
Form 990, Part VI, Section B, line 11bTHE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL VOTING MEMBERS OF THE GOVERNING BODY. BOARD MEMBERS APPROVE THE FORM 990 PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cTHE BOARD OF DIRECTORS IS REQUIRED TO ANNUALLY DISCLOSE ANY PERSONS OR ENTITIES WHICH MAY PRESENT A POSSIBLE FUTURE CONFLICT OF INTEREST. THESE ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND BOARD PRESIDENT AND FILED IN THE EXECUTIVE DIRECTOR'S BOARD MEMBER FILES. IN ADDITION, THE BOARD IS ASKED AT EACH MEETING IF THERE ARE ANY CONFLICTS OF INTEREST THAT NEED TO BE REPORTED. IF THERE ARE ANY DISCLOSED, THEY ARE DOCUMENTED IN THE MINUTES AND THE INTERESTED BOARD MEMBER IS PROHIBITED FROM PARTICIPATING IN DISCUSSIONS OR VOTES PERTAINING TO ANY TRANSACTION OR ARRANGEMENT. CENTRAL BAPTIST VILLAGE'S EMPLOYEE HANDBOOK CONTAINS A CONFLICT OF INTEREST POLICY AND ALL EMPLOYEES ARE REQUIRED TO SIGN A HANDBOOK RECEIPT ACKNOWLEDGMENT.
Form 990, Part VI, Section B, line 15THE EXECUTIVE COMMITTEE (THE COMMITTEE) OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE ANNUAL REVIEW OF THE COMPENSATION OF THE OFFICERS OF THE ORGANIZATION. ALL MEMBERS OF THE COMMITTEE ARE INDEPENDENT IN DETERMINING THE COMPENSATION OF THE OFFICERS OF THE ORGANIZATION. THE COMMITTEE EVALUATES THE OFFICERS OF THE ORGANIZATION PERFORMANCE AGAINST PREVIOUSLY AGREED UPON CRITERIA, CONSIDERS COMPARABLE MARKET DATA, THEN DEBATES AND DOCUMENTS ITS RECOMMENDATION OF REASONABLE COMPENSATION. IN DETERMINING THE COMPENSATION OF OTHER OFFICERS, THE SAME PROCEDURES ARE PERFORMED, HOWEVER, THE COMMITTEE CONSIDERS THE CEO'S EVALUATION OF THE STAFF'S PERFORMANCE.
Form 990, Part VI, Section C, line 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part XI, line 9:CHANGE IN VALUE OF PERPETUAL TRUSTS HELD BY OTHERS 706,704.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
ARTHUR E GENIUS
PO BOX 803878CHICAGOIL60680366038242SUPPORTING ORGANIZATIONIL501(C)(3)Line 12d, III-O0
RICHARD M GENIUS SR TRUST FOR CENTRAL BAPTIST HOME
PO BOX 803878CHICAGOIL60680367035832SUPPORTING ORGANIZATIONIL501(C)(3)Line 12d, III-O0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ARTHUR E GENIUS
C$74,569COST
RICHARD M GENIUS SR TRUST FOR CENTRAL BAPTIST HOME
C$187,784COST

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