2016-04-16T20:36:26-05:00 2015-12-31 061253566 WALTER J MCKEEVER & COMPANY LLC PO BOX 5147 15 VALLEY DRIVE GREENWICH CT 06831 990 2015-01-01 223934788 FRIENDS OF NATHANIEL WITHERELL INC FRIE 2036184227 70 PARSONAGE ROAD GREENWICH CT 06830 BRUCE D DIXON TREASURER 2036184227 2016-04-15 1 DENISE C DORIA P01283182 2036228625 X 2015 2016-09-27 15:27:22Z DAVID ORMSBY 70 PARSONAGE ROAD GREENWICH CT 06830 1441348 0 X WWW.FRIENDSOFWITHERELL.ORG X 2004 CT TO CONDUCT A FULL ARRAY OF FUNDRAISING ACTIVITIES IN SUPPORT OF THE NATHANIEL WITHERELL; A REHABILITATION AND SKILLED NURSING FACILITY OWNED BY, AND LOCATED IN, THE TOWN OF GREENWICH, CT. 12 12 2 300 0 0 1204182 1357504 0 0 23502 414 -12516 8904 1215168 1366822 0 0 0 0 177002 173417 0 0 93067 2050800 1180392 2227802 1353809 -1012634 13013 841397 853982 0 0 841397 853982 X TO CONDUCT A FULL ARRAY OF FUNDRAISING ACTIVITIES IN SUPPORT OF THE NATHANIEL WITHERELL; A REHABILITATION AND SKILLED NURSING FACILITY OWNED BY, AND LOCATED IN, THE TOWN OF GREENWICH, CT. 0 0 1196430 SEE SCHEDULE O1.) INDOOR/OUTDOOR GARDEN FOR ALZHEIMER'S AND DEMENTIA RESIDENTS: FRIENDS OF NATHANIEL WITHERELL (FNW) HAS RAISED FUNDS TO CREATE AN INDOOR/OUTDOOR GARDEN FOR USE BY LONG-TERM RESIDENTS AND THEIR FAMILIES WHO SUFFER FROM ALZHEIMER'S DISEASE AND SENIOR DEMENTIA.2.) THERAPEUTIC RECREATION & MUSIC PROGRAMS: FNW FUNDS SUPPORT A WIDE RANGE OF THERAPEUTIC RECREATION ACTIVITIES & MUSIC PROGRAMS THAT BENEFIT THE 202 RESIDENTS OF THE NATHANIEL WITHERELL, MANY OF WHOM SUFFER FROM ALZHEIMER'S DISEASE AND SENIOR DEMENTIA.3.) RESIDENT LIFE: FNW ESTABLISHED A RESTRICTED FUND THAT IS DEDICATED TO THE CARE, COMFORT AND WELL BEING OF THE RESIDENTS OF THE NATHANIEL WITHERELL.4.) PROJECT RENEW: ACTIVITIES BY FNW IN SUPPORT OF THE NATHANIEL WITHERELL BUILDING PROJECT TO MODERNIZE AND UPDATE THE FACILITIES. 1196430 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 0 1 0 0 0 1 11 0 2 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 CT X FRIENDS OF NATHANIEL WITHERELL INC 2036184227 70 PARSONAGE ROAD GREENWICH CT 06830 X DAVID ORMSBY CHAIRMAN 5.00 X X 0 0 0 KAREN A SADIK-KHAN PRESIDENT 5.00 X X 0 0 0 BRUCE D DIXON TREASURER 5.00 X X 0 0 0 LOUISE C PUSCHEL SECRETARY 3.00 X X 0 0 0 DARBY CARTUN BOARD MEMBER 3.00 X X 0 0 0 BEA CRUMBINE BOARD MEMBER 3.00 X 0 0 0 ROBERT P MCDONALD BOARD MEMBER 3.00 X 0 0 0 LAURA CUNNINGHAM BOARD MEMBER 3.00 X 0 0 0 DEBBY J LASH BOARD MEMBER 5.00 X 0 0 0 SABRINA RAQUET BOARD MEMBER 3.00 X 0 0 0 ALLEN M BROWN BOARD MEMBER, EX-OFFICIO 0.00 X 0 0 0 FRED S C LI BOARD MEMBER 3.00 X 0 0 0 0 0 0 0 0 0 0 0 97015 1260489 35464 1357504 414 414 34910 34910 0 0 27800 97015 27281 519 519 20720 12335 8385 8385 1366822 0 0 9318 160555 69778 35355 55422 12862 5016 2701 5145 8327 8327 130 130 1926 214 1712 2237 244 1743 250 PROJECT RENEW 1024319 1024319 RESIDENT LIFE 51601 51601 FRIENDSHIP GARDEN 33845 33845 MARKETING 29330 9679 9679 9972 28677 1948 6163 20566 1353809 1196430 64312 93067 707795 717606 124507 125048 7799 6518 1296 1310 0 3500 841397 853982 0 0 X 179097 254884 662300 599098 841397 853982 841397 853982 13013 -428 0 X X 0 1 X 1 0 X 175716 364720 2250862 1204182 1357504 5352984 175716 364720 2250862 1204182 1357504 5352984 0 0 0 5352984 8085 5567 2573 2877 414 19516 8085 5567 2573 2877 414 19516 33617 86925 36213 41196 36185 234136 217418 457212 2289648 1248255 1394103 5606636 0.95480 0.94240 0.00350 0.00550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 1366394 -428 -428 1366822 0 1366822 1353809 0 1353809 0 1353809 PART X, LINE 2: AS OF DECEMBER 31, 2015, FRIENDS OF NATHANIEL WITHERELL, INC. HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GOLF TOURNAMENT 44235 31435 12800 3456 4650 5064 LUNCHEON 80580 65580 15000 7475 2500 4136 124815 97015 27800 3456 12125 2500 9200 27281 519 X 2 35464 MEAN FMV AT DONATION 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A DRAFT COPY OF THE 990 IS REVIEWED BY THE CHAIRMAN OF THE BOARD AND ANOTHER BOARD MEMBER. A COPY OF THE FINAL FORM 990 IS PROVIDED ELECTRONICALLY TO ALL MEMBERS OF THE BOARD PRIOR TO THE FILING THEREOF. FORM 990, PART VI, SECTION B, LINE 12C A) AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B) THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C) AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD REVIEWS THE TOP MANAGEMENT OFFICIAL'S SALARY ANNUALLY. PERFORMANCE IS EVALUATED AND APPROPRIATE SALARY IS DETERMINED. 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. FORM 990, PART XII, LINE 2C OVERSIGHT OF THE AUDIT IS PROVIDED PRIMARILY BY THE CHAIRMAN OF THE BOARD AND ANOTHER BOARD MEMBER. THE BOARD MEMBER REVIEWS THE DRAFT OF THE AUDITED FINANCIAL STATEMENTS AND COPIES OF THE FINAL AUDIT REPORT ARE PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES THE APPOINTMENT OF THE INDEPENDENT AUDITOR ANNUALLY. THIS PROCESS HASN'T CHANGED FROM THE PRIOR YEAR. THE NATHANIEL WITHERELL SHORT-TERM REHAB AND SKILLED NURSING CENTER 70 PARSONAGE ROAD GREENWICH CT 06830 PROVIDES REHABILITATION AND NURSING TO RESIDENTS. CT 501(E) 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0