2016-09-02T15:54:47-05:00 2016-03-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2015-04-01 030378715 BRISTOL VILLAGE INC BRIS 7163199500 8455 CLARENCE CENTER ROAD CLARENCE CENTER NY 14032 MICHAEL HELBRINGER PRESIDENT 7163199500 2016-08-29 1 MARY MADONIA P00405803 7168472651 2016-08-29 2015 2016-12-15 16:53:06Z MICHAEL HELBRINGER 8455 CLARENCE CENTER ROAD CLARENCE CENTER NY 14032 4464710 0 X N/A X 2001 NY TO FOCUS ALL RESOURCES ON THE SERVICE AND COMFORT OF THE RESIDENTS. 14 14 126 31 0 0 1190 2340 4302446 4459317 3694 3053 0 0 4307330 4464710 0 0 0 0 2785569 2885275 0 0 0 1421745 1403478 4207314 4288753 100016 175957 8509801 8368248 9614741 9353491 -1104940 -985243 TO FOCUS ALL RESOURCES ON THE SERVICE AND COMFORT OF THE RESIDENTS. 0 0 3869438 4459317 OPERATED AN ENRICHED HOUSING FACILITY THAT PROVIDES LONG-TERM RESIDENTIAL CARE, PRIMARILY FOR PERSONS OVER THE AGE OF 65, IN COMMUNITY-INTEGRATED SETTINGS RESEMBLING INDEPENDENT HOUSING UNITS. THE FACILITY ALSO CONTAINS A SPECIALIZED DEMENTIA UNIT. 3869438 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 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 0 0 0 1 3 0 126 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X BRISTOL VILLAGE INC 7163199500 8455 CLARENCE CENTER ROAD CLARENCE CENTER NY 14032 MARY LOU WYROBEK CHAIRPERSON 1.00 1.00 X X 0 0 0 ALAN VOGT TREASURER 1.00 1.00 X X 0 0 0 DANIEL HERBERGER DIRECTOR 1.00 1.00 X 0 0 0 JOSEPH FLOSS SECRETARY 1.00 1.00 X X 0 0 0 CECELIA KOHLMEIER DIRECTOR 1.00 1.00 X 0 0 0 BARBARA CASSARO VICE CHAIR 1.00 1.00 X X 0 0 0 BILL PROHN DIRECTOR 1.00 1.00 X 0 0 0 HECTOR P GARRIDO DIRECTOR 1.00 1.00 X 0 0 0 JAMES MAGAVERN DIRECTOR 1.00 1.00 X 0 0 0 JACK DEZIK DIRECTOR 1.00 1.00 X 0 0 0 CORINE ARTIS DIRECTOR 1.00 1.00 X 0 0 0 JAMES BENDER DIRECTOR 1.00 1.00 X 0 0 0 THOMAS HANLON DIRECTOR 1.00 1.00 X 0 0 0 PETER MONCZYNSKI DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL HELBRINGER PRESIDENT 24.00 16.00 X 186330 0 2368 186330 0 2368 1 0 1 0 0 2340 2340 RESIDENT REVENUE 623000 4459317 4459317 4459317 3053 3053 4464710 4459317 0 3053 186330 167697 18633 2072179 1885004 187175 89380 67035 22345 379607 284705 94902 157779 118334 39445 21500 21500 40513 40513 16204 12963 3241 8156 7855 301 247122 247122 327231 323959 3272 108513 103667 4846 FOOD 194081 194081 UTILITIES 157137 157137 REPAIRS AND MAINTENANCE 126700 126700 TELEPHONE 28733 22986 5747 127588 109680 17908 4288753 3869438 419315 0 334813 416713 489 31735 60233 94433 38223 31594 10398993 3430980 7021635 6968013 169635 148375 281018 271216 603755 406169 8509801 8368248 227541 269805 106542 43364 4469 5466 9276189 9034856 9614741 9353491 X -1104940 -985243 -1104940 -985243 8509801 8368248 X 175957 -6260 -50000 X X 0 1 X 1 1 1 X 2150 7647 745 1190 2340 14072 3993912 4085613 4177922 4302446 4459317 21019210 3996062 4093260 4178667 4303636 4461657 21033282 0 0 0 21033282 8715 7694 4607 3694 3053 27763 8715 7694 4607 3694 3053 27763 4004777 4100954 4183274 4307330 4464710 21061045 0.99870 0.99850 0.00130 0.00150 X 0 1 X 499089 499089 8919025 2776450 6142575 948157 654530 293627 32722 32722 6968013 X 4458450 -6260 -6260 4464710 0 4464710 4338753 50000 50000 4288753 0 4288753 PART IV, LINE 2B: THE ORGANIZATION ACTS AS A CUSTODIAN FOR RESIDENT FUNDS. THESE FUNDS ARE EXPENDED AT THE DIRECTION OF ITS RESIDENTS FOR PERSONAL ITEMS. PART X, LINE 2: THE VILLAGE IS A NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, AS SUCH, IS NOT SUBJECT TO INCOME TAXES. PART XII, LINE 2D - OTHER ADJUSTMENTS: TRANSFER TO THE BRISTOL HOME INC., A RELATED ENTITY 50,000. X X X X 0 0 0 0 0 0 0 0 0 MICHAEL HELBRINGER PRESIDENT 186330 0 0 0 0 0 0 0 2368 0 188698 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE BRISTOL HOME, INC. IS THE SOLE VOTING MEMBER OF THE BRISTOL VILLAGE, INC. THE BRISTOL HOME HAS AN ECONOMIC INTEREST IN THE BRISTOL VILLAGE AND HAS CONTROL OF THE VILLAGE THROUGH A COMMON BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE BRISTOL HOME, INC. IS THE SOLE VOTING MEMBER OF THE BRISTOL VILLAGE, INC. THE BRISTOL HOME HAS AN ECONOMIC INTEREST IN THE BRISTOL VILLAGE AND HAS CONTROL OF THE VILLAGE THROUGH A COMMON BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY AN OUTSIDE, INDEPENDENT ACCOUNTING FIRM. IT IS THEN PRESENTED TO THE AUDIT COMMITTEE AND THE ENTIRE BOARD FOR REVIEW, DISCUSSION, AND APPROVAL PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C PRIOR TO THE INITIAL ELECTION OF ANY DIRECTOR OR KEY EMPLOYEE, AND ANNUALLY THEREAFTER, THEY SHALL COMPLETE, SIGN AND SUBMIT TO THE BOARD SECRETARY A WRITTEN STATEMENT IDENTIFYING, TO THE BEST OF THEIR KNOWLEDGE, ANY INSTANCE IN WHICH THEY MIGHT HAVE A CONFLICT OF INTEREST, THE DEFINITION OF WHICH IS FURTHER EXPLAINED IN THE ORGANIZATION'S BY-LAWS. PROMPTLY UPON LEARNING OF SUCH A CONFLICT, THE PERSON SHALL DISCLOSE THE MATERIAL FACTS CONCERNING SUCH CONFLICT TO THE EXECUTIVE DIRECTOR WHO SHALL REFER IT TO THE AUDIT COMMITTEE OR IN A MEETING OF THE BOARD OF DIRECTORS, IN WHICH CASE IT WILL BE RECORDED IN THE MINUTES OF THAT MEETING. THE INTERESTED PERSON MAY EXPLAIN THE CIRCUMSTANCES OF THE CONFLICT OF INTEREST TO THE BOARD BUT SHALL NOT BE PRESENT AT OR PARTICIPATE IN THE BOARD DELIBERATION OR VOTE ON THE MATTER, AND SHALL NOT ATTEMPT TO INFLUENCE THE DELIBERATION OR VOTE IN ANY WAY. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE OF THE ORGANIZATION. ALSO, THIS PROCESS INCLUDES THE USE OF COMPARABLE COMPENSATION DATA AS WELL AS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 1023 AND 990 ARE AVAILABLE UPON REQUEST AS WELL AS THROUGH THE WEBSITE GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON SUBMISSION OF A FORMAL WRITTEN REQUEST. FORM 990, PART XI, LINE 9: TRANSFER TO BRISTOL HOME, A RELATED ENTITY -50,000. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM LAST YEAR. THE BRISTOL HOME INC 1500 MAIN STREET BUFFALO NY 14209 160743044 HOME FOR ELDERLY WOMEN NY 501(C)(3) 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0