2016-05-11T12:23:44-05:00 2015-06-30 420714325 RSM US LLP 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2014-07-01 371223609 COMMUNITY RESIDENTIAL CENTERS INC COMM 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 STAN SYDLOWSKI PRESIDENT 3093431550 2016-05-10 1 MICHAEL BASS P00458970 3093428026 2014 2016-08-17 19:52:53Z STAN SYDLOWSKI 285 SOUTH FARNHAM STREET GALESBURG IL 61401 66157 0 X N/A X 1987 IL TO PROVIDE & OPERATE LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED. 4 4 1 0 0 0 3878 0 919366 65811 -4670706 346 0 0 -3747462 66157 0 600000 0 0 917163 39607 0 0 0 1068857 116499 1986020 756106 -5733482 -689949 2276903 1569433 5118230 5050203 -2841327 -3480770 X THE MISSION OF THE ORGANIZATION IS ARTICULATED IN ITS ARTICLES OF INCORPORATION AS FOLLOWS:THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARTIABLE PURPOSES AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN FURTHERANCE OF THOSE CHARITABLE PURPOSES, THE CORPORATION SHALL BE EMPOWERED TO BUILD, LEASE, ACQUIRE AND OTHERWISE OWN AND OPERATE RESIDENTIAL FACILITIES, NURSING FACILITIES AND OTHER RELATED FACILITIES AND SERVICES FOR THE ELDERLY, MENTALLY RETARDED, MENTALLY ILL, DEVELOPMENTALLY DISABLED AND OTHER LIKE CONDITIONS WITHOUT REGARD TO RACE, RELIGION, COLOR, SEX, CREED OR NATIONAL ORIGIN OF SAID PERSONS. THE CORPORATION WILL NOT ENGAGE IN THE PRACTICE OF MEDICINE NOR RENDER ANY LICENSED PROFESSIONAL SERVICES. DURING THE JUNE 30, 2014 FISCAL YEAR, THE CRC RESIDENTIAL FACILITY WAS DELISTED BY THE STATE OF ILLINOIS. THE CRC RESIDENTS WERE TRANSFERRED TO THE CARE OF ACHIEVEMENT UNLIMITED, INC. AND MOVED TO FACILITIES OPERATED BY THAT ORGANIZATION. 0 0 720122 600000 65811 ALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING LONG-TERM CARE FACILITIES AND OTHER RELATED SERVICES TO THE DEVELOPMENTALLY DISABLED AND ELDERLY. 720122 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 4 0 1 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 IL X RON WILSON RFMS INC 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 X X GARY BRUINGTON SECRETARY 1.00 0.00 X X 0 0 0 STAN SYDLOWSKI PRESIDENT 1.00 0.00 X X 0 0 0 CHARLES WESTBAY DIRECTOR 1.00 0.00 X 0 0 0 DAVID BEVERSDORF DIRECTOR 1.00 0.00 X 0 0 0 RON WILSON RFMS INC CFO 40.00 X 0 0 0 0 0 0 0 0 0 0 0 INSURANCE REFUNDS & OT 623000 34383 34383 RESIDENT PRIVATE PAY 623000 31428 31428 65811 346 346 66157 65811 0 346 600000 600000 3000 3000 15920 11144 4776 913 639 274 19774 13842 5932 95000 85500 9500 6141 6141 5470 5470 8803 8187 616 BACKGROUND CHECKS 810 810 SUBSCRIPTIONS & FEES 275 0 275 756106 720122 35984 0 365561 61736 454151 4287876 3823528 413842 464348 10000 10000 1033349 1033349 2276903 1569433 336090 295571 27508 4754632 4754632 5118230 5050203 X -2841327 -3480770 -2841327 -3480770 2276903 1569433 -689949 50506 0 X 0 0 0 X 20620 16940 25070 3878 66508 9949772 9563561 9906456 919366 65811 30404966 9970392 9580501 9931526 923244 65811 30471474 0 0 0 30471474 171160 10206 1739 4649 346 188100 171160 10206 1739 4649 346 188100 2615 2615 10144167 9590707 9933265 927893 66157 30662189 0.99380 0.99510 0.00610 0.00470 X 184000 184000 2507481 2227133 280348 950513 950513 0 405757 405757 0 240125 240125 0 464348 DEFERRED FINANCING COSTS 86023 ESCROW DEPOSITS 22619 REPLACEMENTS RESERVE 924707 1033349 1 ACHIEVEMENT UNLIMITED INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 364143598 501(C)(3) 600000 TO PROVIDE & OPERATE LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED. 1 0 PART I, LINE 2: GRANT FUNDS ARE ONLY GIVEN TO ORGANIZATIONS WHO CONFIRM THE USE OF SUCH MONIES IN THE UNITED STATES. LTC SUPPORT SERVICES LTC ONE COMMON DIRECTOR TO CRC & LTC: CHARLES WESTBAY. 95000 SUPPORT SERVICES ARE PROVIDED BY LTC SUPPORT SERVICES, LLC, AS DESCRIBED IN SCHEDULE O RELATIVE TO PART VI, SECTION A, LINE 3. CHARLES WESTBAY, WHO IS A DIRECTOR OF COMMUNITY RESIDENTIAL CENTERS, INC. AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $4,500 FROM LTC SUPPORT SERVICES, LLC, FOR THE FISCAL YEAR ENDING JUNE 30, 2015. AS OF SEPTEMBER 9, 2014, COMMUNITY RESIDENTIAL CENTERS, INC. WAS NO LONGER A MEMBER OF LTC SUPPORT SERVICES, LLC, THEREFORE MAKING LTC NO LONGER AN INTERESTED PERSON AS OF THAT DATE. 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION RECEIVED SUPPORT SERVICES FROM LTC SUPPORT SERVICES, LLC, AN UNRELATED COMPANY. THESE SERVICES INCLUDE OVERSIGHT, TRAINING, REGULATORY COMPLIANCE, QUALITY ASSURANCE PROGRAMS, HUMAN RESOURCE SUPPORT, MARKETING AND MAINTENANCE. COMMUNITY RESIDENTIAL CENTERS, INC. OWNED 12.5% OF LTC SUPPORT SERVICES, LLC. UNTIL SEPTEMBER 9, 2014 WHEN THE ORGANIZATION'S MEMBERSHIP INTEREST IN LTC WAS CANCELLED. THE REMAINING 87.5% OF LTC SUPPORT SERVICES, LLC. WAS OWNED BY UNRELATED EXEMPT ORGANIZATIONS. THE ORGANIZATION ALSO HAS A NEGOTIATED ARMS LENGTH ADMINISTRATIVE SERVICES CONTRACT WITH RFMS, INC., AN UNRELATED COMPANY, TO OBTAIN SERVICES SUCH AS CASH MANAGEMENT, ACCOUNTING AND FINANCIAL REPORTING, PAYROLL AND EMPLOYEE BENEFITS, INFORMATION TECHNOLOGY, REGULATORY MATTERS, AND OTHER GENERAL BUSINESS AND FINANCIAL MANAGEMENT SERVICES AS REQUIRED. FORM 990, PART VI, SECTION B, LINE 11 EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES A PAPER COPY OF FORM 990 FOR THEIR REVIEW AND COMMENT PRIOR TO ITS FILING. THE BOARD ALSO REVIEWS IN DETAIL EACH FORM 990 FILED BY THE ORGANIZATION AT ITS REGULARLY SCHEDULED BOARD MEETINGS. ON AN ANNUAL BASIS, EACH BOARD MEMBER ATTENDS A TRAINING SESSION THAT PROVIDES UPDATES ON CURRENT EXEMPT ORGANIZATION TAX COMPLIANCE MATTERS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ATTEST TO THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE BOARD OF DIRECTORS REVIEWS ALL COMPLETED CONFLICT OF INTEREST STATEMENTS TO DETERMINE IF ANY CONFLICTS EXIST WHICH WOULD REQUIRE RESTRICTION ON PARTICIPATION IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN ANY TRANSACTIONS INVOLVING THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 18 A PAPER COPY OF FORM 990 IS PROVIDED UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE VIA THE GUIDESTAR.ORG WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT THROUGH PUBLIC FILING REQUIREMENTS. FORM 990, PART VII, SECTION A, COLUMN F: RON WILSON IS EMPLOYED BY RFMS, INC., AN UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH COMMUNITY RESIDENTIAL CENTERS, INC. THE TYPE OF SERVICES PROVIDED BY RFMS, INC., ARE DETAILED IN THE SCHEDULE O EXPLANATION ABOVE RELATIVE TO FORM 990, PART VI, SECTION A, LINE 3. RON WILSON IS THE CHIEF FINANCIAL OFFICER OF RFMS, INC. HIS COMPENSATION REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR CALENDAR YEAR 2014 IS $173,518. RON WILSON'S COMPENSATION AMOUNT AND HOURS HAVE NOT BEEN PRORATED BASED ON TIME SPENT FOR EACH OF THE SEVENTEEN ORGANIZATIONS TO WHOM SERVICES ARE PROVIDED BY RFMS, INC. CRC CHERRY STREET FACILITY LLC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 421578299 OWNS FACILITY PREVIOUSLY OPERATED BY COMMUNITY RESIDENTIAL CENTERS, INC. IL 0 1498068 N/A