2017-10-25T07:52:31-05:00 2016-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2016-01-01 112466996 CRYSTAL RUN VILLAGE INC CRYS 8456924444 601 STONY FORD ROAD MIDDLETOWN NY 109413951 WILLIAM SAMMIS CHIEF EXECUTIVE OFFICER 8456924444 2017-10-11 1 BETTINA LIPPHARDT P00956232 3154764004 4.14.157.194 2017-10-11 07:20:11 ED P 5BB96875A42BDAEB41182F9ACBC1B56AEE4C8494 385B62C4163776184B0F5685109B012F6B49631D 2016 2021-01-29 14:40:06Z WILLIAM SAMMIS 601 STONY FORD ROAD MIDDLETOWN NY 109413951 38648411 0 X HTTP://CRVI.ORG/ X 1978 NY THE ORGANIZATION FOCUSES ON THE PRINCIPLES OF ENDOWMENT, OPPORTUNITY, DIGNITY AND INDEPENDENCE FOR PEOPLE WITH DISABILITIES AND ENSURES THE INDIVIDUALS IN ITS CARE HAVE AS SUCCESSFUL A LIFE AS POSSIBLE THROUGH MEANINGFUL PARTICIPATION IN THEIR COMMUNITIES. THE FUTURE EMPHASIS FOR THE ORGANIZATION IS TO CONTINUE PIONEERING AND EXPANDING THE SCOPE OF SERVICES AVAILABLE FOR PEOPLE IN THE HUDSON VALLEY AND CATSKILL REGIONS THROUGH A VARIETY OF RESIDENTIAL, VOCATIONAL, SKILLS DEVELOPMENT, SERVICE COORDINATION AND CASE MANAGEMENT PROGRAMS. 11 11 960 22 0 0 341798 70399 38185869 38462168 -52717 13192 95207 81905 38570157 38627664 0 0 0 0 29602318 27567394 0 0 0 9016327 8116681 38618645 35684075 -48488 2943589 27670764 26738996 13563161 9698933 14107603 17040063 X TO PROVIDE SERVICES FOR THE INTEGRATION AND EMPOWERMENT OF PEOPLE WITH DISABILITIES. 0 0 28007415 35031749 RESIDENTIAL SERVICES - COMPREHENSIVE REHAB AND HABILITATION SERVICES TO PERSONS WITH DEVELOPMENTAL DISABILITIES AND/OR MENTAL ILLNESS INCLUDING PROVISIONS OF A HOME LIKE ENVIRONMENT. NUMBER OF CLIENTS SERVED: 342 1540841 1803394 COMMUNITY BASED SERVICES - PROVIDES RESPITE AND/OR SKILL BUILDING SUPPORT TO DEVELOPMENTALLY DISABLED INDIVIDUALS WITHIN THE COMMUNITY. NUMBER OF CLIENTS SERVED: 320 1449913 1629932 DAY SERVICES - PROVIDES SUPPORT AND TRAINING FOR DEVELOPMENTALLY DISABLED INDIVIDUALS WHILE THEY ARE WORKING IN THE COMMUNITY WITH ENDING RESULT AS JOB REPLACEMENT. NUMBER OF CLIENTS SERVED: 63 78998 OTHER RELATED REVENUE 78998 30998169 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 0 0 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 43 0 1 960 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X WILLIAM BOGDAN 8456924444 601 STONY FORD ROAD MIDDLETOWN NY 109413951 JOHN DUNNE PRESIDENT 1.00 1.00 X X 0 0 0 BETH POST VICE PRESIDENT 1.00 1.00 X X 0 0 0 MICHAEL FLYNN TREASURER 1.00 1.00 X X 0 0 0 JAMES LAWLER SECRETARY 1.00 1.00 X X 0 0 4545 WILLIAM FIORAVANTI FORMER PRESIDENT 1.00 1.00 X 0 0 0 PAM FANDL DIRECTOR 1.00 1.00 X 0 0 0 SUSAN KENNEDY DIRECTOR 1.00 1.00 X 0 0 0 LEWIS SIEGEL DIRECTOR 1.00 1.00 X 0 0 0 MICAH HOERNIG DIRECTOR 1.00 1.00 X 0 0 0 YVONNE D COMEAU DIRECTOR 1.00 1.00 X 0 0 0 CORINNE CODY DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM SAMMIS CHIEF EXECUTIVE OFFICER 50.00 5.00 X 240312 0 21119 WILLIAM BOGDAN CHIEF FINANCIAL OFFICER 50.00 5.00 X 131264 0 8074 HOPE SCHEUERMANN SENIOR FINANCIAL ANALYST 50.00 5.00 X 181811 0 0 NICOLE WILLNER CHIEF PROGRAM OFFICER 50.00 5.00 X 139668 0 15487 AUDRA COON CONTROLLER 50.00 5.00 X 114416 0 19058 JERRY FRANCIS II CHIEF INFORMATION OFFICER 40.00 5.00 X 102077 0 19842 JAMES CUMMINGS DIRECTOR OF HUMAN RESOURCES 40.00 5.00 X 100606 0 17174 AL BEERS DIRECTOR (THRU SEPTEMBER 2016) 1.00 1.00 X 0 0 0 LINDA BEEZER DIRECTOR (THRU SEPTEMBER 2016) 1.00 1.00 X 0 0 0 KAROLYN THOMPSON DIRECTOR (THRU SEPTEMBER 2016) 1.00 1.00 X 0 0 0 1010154 0 105299 7 0 1 0 E & A CONTRACTING 1102 NY-17K MONTGOMERY NY 12549 CONSTRUCTION 320186 JASON T ANDERSON ARCHITECT PC 223 MAIN STREET GOSHEN NY 10924 ARCHITECTURE 183458 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 ACCOUNTING 125706 THIELE LANDSCAPING 43 LOEWR LUMBER ROAD GLEN SPEY NY 12737 LANDSCAPING 104976 4 70399 70399 MEDICAID 624200 33569524 33569524 PARTICIPANT FEES 624200 3381234 3381234 PRIOR PERIOD REVENUE 624200 799312 799312 FOOD STAMP REVENUE 624200 573695 573695 FEE FOR SERVICES 624200 71456 71456 66947 66947 38462168 22111 22111 11828 20747 -8919 -8919 -8919 OTHER INCOME 900099 81905 81905 81905 38627664 38544073 0 13192 587125 587125 20778993 18866517 1912476 464425 402495 61930 2725047 2485872 239175 3011804 2672492 339312 43704 43704 154619 154619 284349 59575 224774 711093 455288 255805 1678896 1413114 265782 751588 722873 28715 63918 27175 36743 269196 268879 317 1482279 1334411 147868 376944 287407 89537 FOOD 842184 837851 4333 REPAIRS AND MAINTENANCE 506247 477808 28439 MISCELLANEOUS 266319 60476 205843 PARTICIPANT EXPENSE 252363 251850 513 432982 374086 58896 35684075 30998169 4685906 0 1080199 181825 5141649 7733039 3675598 2570106 23254 16592 422235 548813 30000149 18230634 12341939 11769515 4985890 3919106 27670764 26738996 5263518 4538974 1650000 1113897 997673 744755 3977710 2871783 1674260 429524 13563161 9698933 X 14057603 17021023 50000 19040 14107603 17040063 27670764 26738996 2943589 -11129 0 X 0 1 X 1 0 X 113278 91577 74532 341798 70399 691584 39180738 39442421 37891695 38185869 38462168 193162891 39294016 39533998 37966227 38527667 38532567 193854475 0 0 0 193854475 22659 22602 21928 22604 22111 111904 22659 22602 21928 22604 22111 111904 81826 127252 529680 95207 81905 915870 39398501 39683852 38517835 38645478 38636583 194882249 0.99470 0.99470 0.00060 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 1043 0 0 0 1043 0 PART II-B, LINE 1: LOBBYING IN CONNECTION WITH ISSUES IN THE FIELD OF DEVELOPMENTAL DISABILITIES INCLUDING PARTICIPATING IN LEGISLATIVE DAY. 0 0 2257175 2257175 20908132 13617999 7290133 6305205 4612635 1692570 529637 529637 11769515 CLIENT FUNDS 744755 DUE FROM AFFILIATES 2245449 DEBT SERVICE RESERVE FUND 739764 SECURITY DEPOSITS 42238 ASSETS LIMITED TO USE 146900 3919106 DUE TO FUNDING SOURCES 340833 OTHER LIABILITIES 88691 429524 38616535 -11129 -11129 38627664 0 38627664 35684075 0 35684075 0 35684075 X X X X 0 0 0 0 0 0 0 0 0 WILLIAM SAMMIS CHIEF EXECUTIVE OFFICER 238732 0 0 0 1580 0 14358 0 6761 0 261431 0 0 0 HOPE SCHEUERMANN SENIOR FINANCIAL ANALYST 181811 0 0 0 0 0 0 0 0 0 181811 0 0 0 NICOLE WILLNER CHIEF PROGRAM OFFICER 134921 0 2454 0 2293 0 4261 0 11226 0 155155 0 0 0 A ORANGE COUNTY INDUSTRIAL DEVELOPMENT AGENCY 141603415 684595DR9 2006-06-15 3635000 FINANCING FACILITIES CONSTRUCTION 0 0 1 B SULLIVAN COUNTY INDUSTRIAL DEVELOPMENT AGENCY 141651045 865272AY4 2006-06-15 1855000 FINANCING FACILITIES CONSTRUCTION 0 0 1 A 2120000 3635000 363500 72700 3198800 2006 0 0 1 1 B 1305000 1855000 185500 37100 1632400 2006 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND SUBMITTED TO THE CHIEF EXECUTIVE OFFICER FOR ADDITIONAL REVIEW AND QUESTIONS. AFTER THEIR REVIEW IS COMPLETE, THE FORM 990 IS SUBMITTED TO THE BOARD OF DIRECTORS FOR FURTHER REVIEW AND QUESTIONS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF DIRECTORS IS REQUIRED TO SIGN A CONFLICT OF INTEREST DECLARATION ANNUALLY. OVERSIGHT IS PROVIDED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER COMPLETES AN ANNUAL SELF-EVALUATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS COMPLETES AN ANNUAL EVALUATION OF THE CHIEF EXECUTIVE OFFICER. THE PRESIDENT OF THE BOARD OF DIRECTORS COMPILES THE RESULTS AND PRESENTS THE RESULTS TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE MEETS TO DISCUSS THE RESULTS AND PRESENTS THEM TO THE FULL BOARD OF DIRECTORS. AN INDEPENDENT ACCOUNTING FIRM PROVIDES THE BOARD OF DIRECTORS WITH COMPARATIVE SALARY DATA FROM SIMILAR ORGANIZATIONS IN THE REGION AND PROVIDES THE BOARD OF DIRECTORS WITH THEIR RECOMMENDATION FOR THE CHIEF EXECUTIVE OFFICER'S SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CRYSTAL RUN VILLAGE FOUNDATION INC 601 STONY FORD ROAD MIDDLETOWN NY 10941 141707425 SUPPORT NY 501(C)(3) LINE 7 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN BORROWER CORPORATION 601 STONY FORD ROAD MIDDLETOWN NY 10941 133578723 RENTAL NY 501(C)(3) LINE 10 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN BORROWER CORPORATION II 601 STONY FORD ROAD MIDDLETOWN NY 10941 133646053 RENTAL NY 501(C)(3) LINE 7 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN BORROWER CORPORATION III 601 STONY FORD ROAD MIDDLETOWN NY 10941 061391628 RENTAL NY 501(C)(3) LINE 10 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION 601 STONY FORD ROAD MIDDLETOWN NY 10941 061461003 RENTAL NY 501(C)(3) LINE 10 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION II 601 STONY FORD ROAD MIDDLETOWN NY 10941 161521540 RENTAL NY 501(C)(3) LINE 10 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION III 601 STONY FORD ROAD MIDDLETOWN NY 10941 061565999 RENTAL NY 501(C)(3) LINE 10 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION IV 601 STONY FORD ROAD MIDDLETOWN NY 10941 061566006 RENTAL NY 501(C)(3) LINE 10 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION V 601 STONY FORD ROAD MIDDLETOWN NY 10941 061614498 RENTAL NY 501(C)(3) LINE 10 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION VI 601 STONY FORD ROAD MIDDLETOWN NY 10941 542073371 RENTAL NY 501(C)(3) LINE 10 CRYSTAL RUN VILAGE INC 1 1 0 1 1 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 CRYSTAL RUN OWNER CORPORATION K 162301 HUD APPROVED RATES CRYSTAL RUN OWNER CORPORATION V K 53953 HUD APPROVED RATES CRYSTAL RUN BORROWER CORPORATION K 60272 HUD APPROVED RATES CRYSTAL RUN BORROWER CORPORATION II K 56802 HUD APPROVED RATES CRYSTAL RUN VILLAGE FOUNDATION INC C 70399 FAIR MARKET VALUE