2016-11-04T15:12:27-05:00 2015-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2015-01-01 112466996 CRYSTAL RUN VILLAGE INC CRYS 8456924444 601 STONY FORD ROAD MIDDLETOWN NY 10941 WILLIAM SAMMIS EXECUTIVE DIRECTOR 8456924444 2016-11-01 1 BETTINA LIPPHARDT P00956232 3154764004 2015 2017-02-10 21:41:12Z WILLIAM SAMMIS 601 STONY FORD ROAD MIDDLETOWN NY 10941 38685548 0 X WWW.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. 13 13 987 15 0 0 74532 341798 37891695 38185869 372134 -52717 529680 95207 38868041 38570157 0 0 0 0 27407958 29602318 0 0 0 9942280 9016327 37350238 38618645 1517803 -48488 27957738 27670764 13870944 13563161 14086794 14107603 X THE MISSION OF CRYSTAL RUN VILLAGE, INC. IS TO PROVIDE SERVICES FOR THE INTEGRATION AND EMPOWERMENT OF PEOPLE WITH DISABILITIES. 0 0 30331533 34575740 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: 389 1633431 1669432 COMMUNITY BASED SERVICES - PROVIDES RESPITE AND/OR SKILL BUILDING SUPPORT TO DEVELOPMENTALLY DISABLED INDIVIDUALS WITHIN THE COMMUNITY. NUMBER OF CLIENTS SERVED: 353 1561800 1823523 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: 64 137060 OTHER 137060 33526764 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 1 0 0 0 0 0 1 0 0 0 1 45 0 1 987 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X BILL BOGDAN 8456924444 601 STONY FORD ROAD MIDDLETOWN NY 10941 WILLIAM FIORAVANTI PRESIDENT 1.00 1.00 X X 0 0 0 JAMES LAWLER TREASURER 1.00 1.00 X X 0 0 4512 JOHN DUNNE VICE PRESIDENT 1.00 1.00 X X 0 0 0 BETH POST SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL FLYNN FORMER PRESIDENT 1.00 1.00 X X 0 0 0 AL BEERS DIRECTOR 1.00 1.00 X 0 0 0 LINDA BEEZER DIRECTOR 1.00 1.00 X 0 0 0 PAM FANDL DIRECTOR 1.00 1.00 X 0 0 0 DANIEL GRUNER DIRECTOR 1.00 1.00 X 0 0 0 TROY JOHNSON 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 KAROLYN THOMPSON DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM SAMMIS EXECUTIVE DIRECTOR 50.00 5.00 X 209840 0 16972 HOPE SCHEUERMANN ASSOCIATE EXECUTIVE DIRECTOR 50.00 5.00 X 170836 0 21698 NICOLE WILLIAMS ASSOCIATE EXECUTIVE DIRECTOR 50.00 5.00 X 128466 0 9817 DANIELLE MANN CORPORATE COMPLIANCE OFFICER 40.00 5.00 X 137694 0 17107 AUDRA COON CONTROLLER 50.00 5.00 X 101413 0 11749 748249 0 81855 5 0 1 0 HEALTHCARE PERSPECTIVE LLC 1081 BLIND BROOK DRIVE COLUMBUS OH 43201 CONSULTING 188668 DIRECT ENERGY BUSINESS 1001 LIBERTY AVE SUITE 1200 PITTSBURGH PA 15222 ENERGY 156451 NETWORK DOCTOR 600 SYLVAN AVE ENGLEWOOD CLIFFS NJ 07632 INFORMATION TECHNOLOGY 131979 BDO USA LLP 401 BROADHOLLOW RD MELVILLE NY 11747 ACCOUNTING 120798 THIELE LANDSCAPING 43 LOWER LUMBER RD GLEN SPEY NY 12737 LANDSCAPING 119901 5 291798 50000 341798 MEDICAID 624200 33390560 33390560 PARTICIPANT FEES 624200 3403097 3403097 PRIOR PERIOD REVENUE 624200 617909 617909 FOOD STAMP REVENUE 624200 562176 562176 OTHER GOVERNMENT SUPPORT 624200 139377 139377 72750 72750 38185869 22604 22604 40070 115391 -75321 -75321 -75321 OTHER INCOME 900099 95207 95207 95207 38570157 38205755 0 22604 419346 419346 21532246 19401399 2130847 551293 504504 46789 4112791 3647061 465730 2986642 2636608 350034 58712 58712 107698 107698 449645 73282 376363 565488 315087 250401 1882692 1625222 257470 989326 959341 29985 88649 37250 51399 280092 278673 1419 1643683 1488528 155155 151264 78261 73003 FOOD 927538 924347 3191 REPAIRS AND MAINTENANCE 535021 503246 31775 FACILITY TAX 330687 330687 PARTICIPANT EXPENSE 287907 287339 568 717925 435929 281996 38618645 33526764 5091881 0 816878 1080199 5321327 5141649 3250091 3675598 32058 23254 1254932 422235 29101988 16760049 13173813 12341939 4108639 4985890 27957738 27670764 4491789 5263518 119579 2185000 1650000 631498 997673 4330488 3977710 2112590 1674260 13870944 13563161 X 14086794 14057603 50000 14086794 14107603 27957738 27670764 -48488 -15903 85200 0 X X 0 1 X 1 0 X 181546 113278 91577 74532 341798 802731 38644791 39180738 39442421 37891695 38185869 193345514 38826337 39294016 39533998 37966227 38527667 194148245 0 0 0 194148245 22738 22659 22602 21928 22604 112531 22738 22659 22602 21928 22604 112531 92611 81826 127252 529680 95207 926576 38941686 39398501 39683852 38517835 38645478 195187352 0.99470 0.99480 0.00060 0.00060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2011 AMOUNT: $ 92,611. 2012 AMOUNT: $ 81,826. 2013 AMOUNT: $ 76,254. 2014 AMOUNT: $ 81,173. 2015 AMOUNT: $ 95,207. REFUND OF CLINICAL COSTS - 2013 AMOUNT: $ 50,998. NYS INSURANCE FUND REIMBURSEMENT - 2014 AMOUNT: $ 448,507. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 402 0 0 0 402 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 17944505 11193879 6750626 3296021 1781899 1514122 5604287 3784271 1820016 12341939 CLIENT FUNDS 997673 DUE FROM AFFILIATES 2615527 DEBT SERVICE RESERVE FUND 775379 SECURITY DEPOSITS 42238 DEBT ISSUANCE COSTS, NET 136320 INVESTMENT IN COORDINATED BEHAVIORAL HEALTH SERVICES 75000 ASSETS LIMITED TO USE 343753 4985890 DUE TO FUNDING SOURCES 1610271 OTHER LIABILITIES 63989 1674260 38554254 -15903 -15903 38570157 0 38570157 38618645 0 38618645 0 38618645 X X X X 0 0 0 0 0 0 0 0 0 WILLIAM SAMMIS EXECUTIVE DIRECTOR 204407 0 0 0 5433 0 11029 0 5943 0 226812 0 0 0 HOPE SCHEUERMANN ASSOCIATE EXECUTIVE DIRECTOR 162423 0 0 0 8413 0 9160 0 12538 0 192534 0 0 0 DANIELLE MANN CORPORATE COMPLIANCE OFFICER 134210 0 0 0 3484 0 1535 0 15572 0 154801 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 PART III LINE 7 CRYSTAL RUN VILLAGE, INC. CONTINUES ITS MISSION TO SERVE NYS RESIDENTS WITH DEVELOPMENTAL DISABILITIES AS A 501(C) (3) VOLUNTARY PROVIDER. OUR TAX-EXEMPT FINANCED FACILITIES ARE USED SOLELY AS RESIDENTIAL HOMES FOR CONSUMERS WITH DEVELOPMENTAL DISABILITIES. OUR STAFF IS TRAINED TO COMPLY WITH THE MISSION OF OUR AGENCY, AND OUR MANAGEMENT IS COMMITTED TO MAINTAINING OUR EXEMPT STATUS. PART III LINE 9 AS OF DECEMBER 31, 2015 THE MANAGEMENT OF CRYSTAL RUN VILLAGE HAD NOT ADOPTED A WRITTEN PROCEDURE TO ENSURE THAT ALL NONQUALIFIED BONDS OF ISSUE ARE REMEDIATED IN ACCORDANCE WITH REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2. THE ORGANIZATION IS NOT AWARE OF ANY EVENT THAT CAUSED ITS BONDS TO BECOME NONQUALIFIED DURING 2015. THE ORGANIZATION IS CURRENTLY DRAFTING WRITTEN PROCEDURES AS PER PART III,LINE 9, PART IV, LINE 7 AND PART V. MICHAEL FLYNN FORMER BOARD PRESIDENT 130010 BANKING FEES AND INTEREST ON MORTGAGES/NOTES 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE DEPUTY EXECUTIVE DIRECTOR OF ADMINISTRATIVE SERVICES AND SUBMITTED TO THE EXECUTIVE DIRECTOR FOR ADDITIONAL REVIEW AND QUESTIONS. AFTER THEIR REVIEW FORM 990 IS SUBMITTED TO THE BOARD FOR FURTHER REVIEW AND QUESTIONS BEFORE IT IS FILED WITH IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD MUST SIGN THE CONFLICT OF INTEREST DECLARATION ANNUALLY. OVERSIGHT IS PROVIDED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR COMPLETES AN ANNUAL SELF-EVALUATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS COMPLETES AN ANNUAL EVALUATION OF THE EXECUTIVE DIRECTOR. THE BOARD PRESIDENT 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. THE AUDIT FIRM PROVIDES THE BOARD WITH COMPARATIVE SALARY DATA FROM SIMILAR ORGANIZATIONS IN THE REGION AND PROVIDES THE BOARD WITH THEIR RECOMMENDATION FOR THE EXECUTIVE DIRECTOR'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. 990 PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITORS. THE AUDITORS MEET WITH THE BOARD PRIOR TO THE AUDIT BEGINNING AND THEN AT THE COMPLETION OF THE AUDIT TO REVIEW THE RESULTS. CRYSTAL RUN VILLAGE FOUNDATION INC 601 STONY FORD ROAD MIDDLETOWN NY 10941 141707425 SUPPORT NY 501(C)(3) LINE 7 N/A 0 CRYSTAL RUN BORROWER CORPORATION 601 STONY FORD ROAD MIDDLETOWN NY 10941 133578723 RENTAL NY 501(C)(3) LINE 9 N/A 0 CRYSTAL RUN BORROWER CORPORATION II 601 STONY FORD ROAD MIDDLETOWN NY 10941 133646053 RENTAL NY 501(C)(3) LINE 7 N/A 0 CRYSTAL RUN BORROWER CORPORATION III 601 STONY FORD ROAD MIDDLETOWN NY 10941 061391628 RENTAL NY 501(C)(3) LINE 9 N/A 0 CRYSTAL RUN OWNER CORPORATION 601 STONY FORD ROAD MIDDLETOWN NY 10941 061461003 RENTAL NY 501(C)(3) LINE 9 N/A 0 CRYSTAL RUN OWNER CORPORATION II 601 STONY FORD ROAD MIDDLETOWN NY 10941 161521540 RENTAL NY 501(C)(3) LINE 9 N/A 0 CRYSTAL RUN OWNER CORPORATION III 601 STONY FORD ROAD MIDDLETOWN NY 10941 061565999 RENTAL NY 501(C)(3) LINE 9 N/A 0 CRYSTAL RUN OWNER CORPORATION IV 601 STONY FORD ROAD MIDDLETOWN NY 10941 061566006 RENTAL NY 501(C)(3) LINE 9 N/A 0 CRYSTAL RUN OWNER CORPORATION V 601 STONY FORD ROAD MIDDLETOWN NY 10941 061614498 RENTAL NY 501(C)(3) LINE 9 N/A 0 CRYSTAL RUN OWNER CORPORATION VI 601 STONY FORD ROAD MIDDLETOWN NY 10941 542073371 RENTAL NY 501(C)(3) LINE 9 N/A 0 1 0 1 1 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 CRYSTAL RUN OWNER CORPORATION A 177341 HUD APPROVED RATES CRYSTAL RUN OWNER CORPORATION V A 53059 HUD APPROVED RATES CRYSTAL RUN BORROWER CORPORATION A 63510 HUD APPROVED RATES CRYSTAL RUN BORROWER CORPORATION II A 54116 HUD APPROVED RATES