2016-05-16T08:52:18-05:00 2015-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1869 CHARTER LANE STE 301 LANCASTER PA 17601 990 2014-07-01 320154392 LUTHERAN VILLAGE AT MILLER'S GRANT LUTH 4108480090 300 ST LUKE CIRCLE WESTMINSTER MD 21158 GEARY K MILLIKEN PRESIDENT/CEO 4108480090 2016-05-13 1 KERRI N BOGDA P00760402 7173935696 2014 2016-08-17 19:52:53Z GEARY K MILLIKEN 300 ST LUKE CIRCLE WESTMINSTER MD 21158 19996 0 X WWW.CARROLLLUTHERANVILLAGE.ORG X 2005 MD RESIDENTIAL SERVICES PROVIDED TO THE ELDERLY - THIS RETIREMENT COMMUNITY IS UNDER CONSTRUCTION. 9 7 4 0 0 0 31000 19996 0 0 0 0 0 0 31000 19996 0 0 0 0 0 0 0 0 0 0 0 0 0 31000 19996 36860642 145404691 24352953 132877006 12507689 12527685 THE LUTHERAN VILLAGE AT MILLER'S GRANT, A PRIVATE, NONPROFIT, FAITH-BASED CONTINUING CARE RETIREMENT COMMUNITY, EXISTS TO PROVIDE COMPREHENSIVE CARE AND SERVICES PROMOTING WELLNESS AND GRACEFUL LIVING FOR OLDER ADULTS IN A WELCOMING, COMPASSIONATE AND SECURE ENVIRONMENT. 0 0 0 0 0 THIS ORGANIZATION IS A RETIREMENT COMMUNITY WHICH IS CURRENTLY UNDER CONSTRUCTION AND A PLANNED PHASED OPENING COMMENCING IN FEBRUARY 2016. WHEN FULLY OCCUPIED THE COMMUNITY WILL PROVIDE RESIDENTIAL LIVING WITH 205 APARTMENTS AND 36 HOMES TOTALING 241 INDEPENDENT LIVING UNITS. IN ADDITION THERE WILL BE 32 HIGH CARE BEDS, 20 OF WHICH ARE ASSISTED LIVING AND 12 SKILLED NURSING. THE FACILITY WILL HAVE ADMINISTRATIVE OFFICES, MULTIPLE DINING VENUES, A WELLNESS CENTER, ACTIVITY ROOMS, LOUNGE AND A POOL. 1 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 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 11 0 1 4 1 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X STEVEN D POWELL - VP OF FINANCE 4108480090 300 ST LUKE CIRCLE WESTMINSTER MD 21158 GEARY K MILLIKEN PRESIDENT/CEO 12.00 28.00 X X 0 266708 39031 ROY CHIAVACCI BOARD 20.00 20.00 X 0 155465 9254 ARTHUR S WISNER TREASURER 1.00 X X 0 0 0 EDWARD LEISTER VICE CHAIR 1.00 X X 0 0 0 PAUL L MILLER CHAIR 1.00 X X 0 0 0 FRANK PALULIS SECRETARY 1.00 X X 0 0 0 HERBERT D COSS JR BOARD 1.00 X 0 0 0 BRUCE ASH BOARD 1.00 X 0 0 0 JOE HIKEL BOARD 1.00 X 0 0 0 STEVEN POWELL VP OF FINANCE 12.00 28.00 X 0 74354 2354 DARRELL DUGGINS VP OF FINANCE 12.00 28.00 X 0 110245 6509 0 606772 57148 0 0 1 0 REESE LOWER PATRICK & SCOTT LTD 250 VALLEYBROOK DRIVE LANCASTER PA 17601 ARCHITECTURAL SVC. 3548445 DIXON HUGHES GOODMAN LLP PO BOX 602828 CHARLOTTE NC 282602828 ACCOUNTING SVC. 304133 WHITEFORD TAYLOR & PRESTON LLP SEVEN ST PAUL STREET BALTIMORE MD 212021626 LEGAL SERVICES 304034 TURF VALLEY RESORTMANGIONE ENTERPRISES 2700 TURF VALLEY ROAD ELLICOTT CITY MD 21042 EVENT SERVICES 104949 4 19996 19996 19996 0 0 0 0 0 0 0 51066 957813 48625813 0 28873117 48625813 7936459 9566349 77173290 0 9081426 36860642 145404691 177958 6869443 110638529 7896552 9564797 12747549 0 3660417 3530894 2143820 24352953 132877006 X 12459689 12459689 48000 67996 12507689 12527685 36860642 145404691 19996 0 X 0 1 X 1 0 X 17000 31000 19996 67996 17000 31000 19996 67996 26280 41716 67996 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 11600000 11600000 37025813 37025813 48625813 CAPITALIZED INTEREST FUND 9250216 C DEBT SERVICE RESERVE FUND 6530268 C CONSTRUCTION FUND 57296946 C WORKING CAPITAL FUNDS BONDS 1979239 C LIQUIDITY SUPPORT FUND BONDS 2000000 C TRUSTEE HELD INTEREST 96410 C CASH IN BANK FUNDS 20211 C 77173290 DEFERRED FINANCING COSTS 2975436 DEFERRED MARKETING COSTS 6105990 9081426 DUE TO AFFILIATES 143820 LIQUIDITY SUPPORT DUE TO REL. PA 2000000 2143820 X 19996 0 19996 0 19996 0 0 0 0 0 PART IV, LINE 2B: THE LUTHERAN VILLAGE AT MILLER'S GRANT (LVMG) TRANSFERS DEPOSITS, RECEIVED FROM PROSPECTIVE RESIDENTS, TO AN ESCROW AGENT. INTEREST ACCRUES FOR THE BENEFIT OF LVMG; HOWEVER THE FUNDS ARE KEPT IN THE NAME OF THE DEPOSITOR. THE PROSPECTIVE RESIDENT IS ENTITLED TO THE RETURN OF ALL OR PART OF THE DEPOSIT AS DETERMINED BY THE PROVIDER. PART X, LINE 2: THE VILLAGE FOLLOWS THE PROVISIONS OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE PROVISION ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THESE PROVISIONS DO NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. THE FEDERAL FORM 990, ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS ENDED JUNE 30, 2014, 2013, AND 2012 REMAIN SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING AUTHORITIES. 0 0 0 0 0 0 0 0 0 GEARY K MILLIKEN PRESIDENT/CEO 0 263111 0 0 0 3597 0 10650 0 28381 0 305739 0 0 ROY CHIAVACCI BOARD 0 149140 0 0 0 6325 0 6268 0 2986 0 164719 0 0 PART I, LINE 3 LUTHERAN VILLAGE AT MILLER'S GRANT RELIES ON THE METHODS USED BY CARROLL LUTHERAN VILLAGE, A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. THE METHODS USED ARE AS FOLLOWS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OF DIRECTORS A THE MAYOR AND COMMON COUNCIL OF WESTMINSTER 526000811 960735AS7 2014-09-04 103295000 CONSTRUCTION BONDS FOR FACILITY 0 0 0 B THE MAYOR AND COMMON COUNCIL OF WESTMINSTER 526000811 2014-09-04 25000000 0 0 0 A 102583952 6530268 9250216 2051679 23956131 61392806 2016 0 0 0 1 B 25000000 418956 7318813 17262231 2016 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART I, COLUMN E AND PART II, LINE 3: THE DIFFERENCE BETWEEN THE BOND ISSUE PRICE AND THE AMOUNT OF PROCEEDS IS ORIGINAL ISSUE DISCOUNT. SCHEDULE K, PART III, LINE 9: THE ORGANIZATION IS IN THE PROCESS OF ESTABLISHING A WRITTEN PROCEDURE FOR POTENTIALLY NONQUALIFYING BOND ISSUES. THE ORGANIZATION IS FASTIDIOUS IN ITS POST-BOND ISSUANCE AND BELIEVES IT IS IN FULL COMPLIANCE WITH ALL REGULATIONS. ALL PROCEDURES WILL BE DOCUMENTED AS WRITTEN POLICY FOR THE CURRENT AND FUTURE ISSUANCES FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF LUTHERAN VILLAGE AT MILLER'S GRANT IS CARROLL LUTHERAN VILLAGE, A MARYLAND NONSTOCK CORPORATION. SOME LVMG BOARD MEMBERS ARE PARENT BOARD MEMBERS OF CLV OR KEY MANAGEMENT OF CLV. FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES SHALL BE APPOINTED BY THE MEMBER, CARROLL LUTHERAN VILLAGE; PROVIDED, HOWEVER, THAT GREY ROCK COMMUNITY, INC., A MARYLAND NONSTOCK CORPORATION, SHALL BE ENTITLED TO NOMINATE 4 INDIVIDUALS TO SERVE AS TRUSTEES AND THE MEMBER SHALL APPOINT SUCH INDIVIDUALS NOMINATED BY GREY ROCK AS TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS FIRST REVIEWED BY BOTH THE PRESIDENT/CEO AND VP OF FINANCE. ONCE THEIR REVIEW HAS BEEN COMPLETED THE 990 IS GIVEN TO THE ENTIRE BOARD TO REVIEW PRIOR TO THE RETURN BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C LUTHERAN VILLAGE AT MILLER'S GRANT, AS THE WHOLLY OWNED SUBSIDIARY OF CARROLL LUTHERAN VILLAGE, FOLLOWS CAROLL LUTHERAN VILLAGE'S CONFLICTS OF INTEREST POLICY. CARROLL LUTHERAN VILLAGE HAS AN ESTABLISHED POLICY AND STANDARDS REGARDING CONFLICT OF INTEREST. MANY BOARD AND COMMITTEE MEMBERS ARE ACTIVE AS COMMUNITY AND BUSINESS LEADERS IN CARROLL COUNTY AND WILL AT TIMES FIND THEMSELVES IN A POSITION WHERE THERE MAY BE A DEGREE OF CONFLICT WITH THE VILLAGE'S BUSINESS. THESE CONFLICTS ARE EXPECTED AND THE FACT THAT THEY WILL REGULARLY OCCUR DOES NOT PRECLUDE SUCH A MEMBER FROM SERVING ON THE BOARD OR COMMITTEE. THE VILLAGE IN FACT NEEDS THE VARIED EXPERTISE OF ITS BOARD AND COMMITTEE VOLUNTEERS AND BELIEVES THAT BOARD POLICY OF DISCLOSURE AND ABSTENTION ASSURES THAT THE VILLAGE'S BUSINESS IS CONDUCTED IN A FAIR AND INDEPENDENT MANNER. THE CARROLL LUTHERAN VILLAGE (CLV) CONFLICT OF INTEREST POLICY APPLIES TO OFFICERS, DIRECTORS, BOARD COMMITTEE MEMBERS AND EMPLOYEES OF CLV, EACH OF WHOM IS CONSIDERED AN INTEREST PERSON. AN ENTITY WITH A CLV TRANSACTION IS ANY INDIVIDUAL OR BUSINESS ORGANIZATION WHICH PROPOSES TO ENTER INTO ANY TRANSACTION WITH CLV INVOLVING: 1) THE SALE, PURCHASE, LEASE OR RENTAL OF ANY PROPERTY OR ASSET, 2) EMPLOYMENT, OR RENDITION OF SERVICES, PERSONAL OR OTHERWISE, 3) THE AWARD OF ANY GRANT, CONTRACT, OR SUBCONTRACT, OR 4) THE INVESTMENT OR DEPOSIT OF ANY FUNDS OF CLV. AN INTERESTED PERSON HAS A FINANCIAL INTEREST IN AN ENTITY IF SUCH PERSON OR AN IMMEDIATE FAMILY MEMBER (INCLUDING ALL LINEAL RELATIVES AND THEIR SPOUSES, SIBLINGS AND THEIR SPOUSES) HAS AN OWNERSHIP INTEREST IN THE ENTITY OR IS AN EMPLOYEE OF OR RECEIVES COMPENSATION FROM THE ENTITY. COMPENSATION INCLUDES ANY DIRECT OR INDIRECT REMUNERATION OR SUBSTANTIAL GIFTS OR FAVORS. AN INTERESTED PERSON HAS A CONFLICT OF INTEREST WHEN THAT PERSON, OR AN IMMEDIATE FAMILY MEMBER, IS OR HAS A FINANCIAL INTEREST IN, AN ENTITY WITH A CLV TRANSACTION. CONFLICTS OF INTEREST CAN ALSO ARISE IN OTHER INSTANCES. THE TYPES OF ACTIVITIES WHICH MAY CREATE A CONFLICT OF INTEREST INCLUDE: 1) OUTSIDE ACTIVITIES: TO RENDER DIRECTIVE, MANAGERIAL OR CONSULTATIVE SERVICES TO ANY OUTSIDE CONCERN THAT DOES BUSINESS WITH, OR COMPETES WITH, THE SERVICES OF CLV, OR TO RENDER OTHER SERVICES IN COMPETITION WITH CLV. 2) GIFTS, GRATUITIES AND ENTERTAINMENT: TO ACCEPT GIFTS, ENTERTAINMENT OR OTHER FAVORS FROM ANY OUTSIDE CONCERN THAT DOES, OR IS SEEKING TO DO BUSINESS WITH OR IS A COMPETITOR OF CLV. 3) INSIDE INFORMATION: TO DISCLOSE OR USE INFORMATION RELATING TO THE BUSINESS OF CLV FOR THE PERSONAL PROFIT OR ADVANTAGE OF THE INDIVIDUAL OR HIS/HER IMMEDIATE FAMILY. IT IS THE RESPONSIBILITY OF AN INTERESTED PERSON TO APPROPRIATELY DISCLOSE TO CLV ANY POTENTIAL CONFLICTS OF INTEREST. ONCE DISCLOSED, IT IS THE RESPONSIBILITY OF THE CEO/PRESIDENT TO DETERMINE IF A CONFLICT EXISTS. THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES MAY BE UTILIZED BY THE CEO/PRESIDENT, IF NEEDED TO DETERMINE A POTENTIAL CONFLICT OF INTEREST. IF AN INTERESTED PERSON HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, APPROPRIATE DISCIPLINARY AND/OR CORRECTIVE ACTION WILL BE TAKEN. THE CONFLICT OF INTEREST POLICY STATEMENT IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES AND IS A NORMAL PART OF ALL AGREEMENTS AND/OR CONTRACTS. AN APPROPRIATE STATEMENT FORM IS AVAILABLE AND MUST BE SIGNED AND ON FILE FOR ALL INTERESTED PERSONS. FORM 990, PART VI, SECTION B, LINE 15 CARROLL LUTHERAN VILLAGE'S (THE FILING ORGANIZATION'S PARENT) BOARD OF TRUSTEES' EXECUTIVE COMMITTEE, INCLUDING THE CHAIRMAN, SERVES AS A COMPENSATION COMMITTEE. WITH THE SUPPORT OF THE VP OF HUMAN RESOURCES, THE COMMITTEE USES A VARIETY OF SURVEYS AND COMPENSATION CONSULTANTS TO DETERMINE A RECOMMENDED COMPENSATION AMOUNT FOR THE PRESIDENT/CEO. THE CARROLL LUTHERAN VILLAGE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE PRESIDENT/CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, FORM 990, AND OTHER OPERATING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CERTAIN GOVERNING DOCUMENTS AND POLICIES ARE CONSIDERED PROPRIETARY AND ARE NOT GENERALLY DISCLOSED. THE ORGANIZATION IS IN FULL COMPLIANCE WITH ALL REGULATIONS CONCERNING DISCLOSURE AT THE FEDERAL, STATE, AND LOCAL LEVELS. FORM 990, PAGE 5, LINES 2A AND 2B: LUTHERAN VILLAGE AT MILLERS GRANT IS CURRENTLY IN THE MARKETING PHASE OF DEVELOPMENT. ALL COSTS ASSOCIATED WITH THIS PROJECT ARE CURRENTLY BEING CAPITALIZED. THIS IS WHY THERE ARE EMPLOYEES LISTED ON LINE 2A OF PART V BUT NO CORRESPONDING SALARIES BEING REPORTED ON THE STATEMENT OF FUNCTIONAL EXPENSES. CAROLL LUTHERAN VILLAGE INC 300 ST LUKE CIRCLE WESTMINSTER MD 21158 521127007 PROVIDE NURSING CARE TO THE EDERLY MD 501(C)(3) 9 N/A 0 CLV CATERING INC 300 ST LUKE CIRCLE WESTMINSTER MD 21158 753195092 CATERING MD N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0