2015-02-10T14:02:34-06:00 2014-03-31 161131146 BONADIO & CO LLP 6 WEMBLEY COURT ALBANY NY 12205 990 2013-04-01 264101808 CAMPHILL HUDSON INC CAMP 5183294851 360 WARREN ST HUDSON NY 12534 KAM BELLAMY EXECUTIVE DIRECTOR 5183294851 2015-02-03 1 JOHN C OLSEN P00321116 5184644080 2015-02-03 2013 2016-03-07 17:11:31Z KAM BELLAMY 360 WARREN ST HUDSON NY 12534 706342 0 X CAMPHILLHUDSON.ORG X 2009 NY TO CARE FOR ADULTS WITH SPECIAL NEEDS IN FAMILY HOMES, IN MEANINGFUL WORK OPTIONS, AND IN A RICH ARRAY OF SPIRITUAL, CULTURAL, EDUCATIONAL, AND ARTISTIC ACTIVITIES. 6 5 10 10 0 0 152436 154897 397267 470001 0 0 11670 46687 561373 671585 0 0 0 0 143721 254500 0 0 0 356553 413681 500274 668181 61099 3404 234270 225729 121730 109785 112540 115944 TO CARE FOR ADULTS WITH SPECIAL NEEDS IN FAMILY HOMES, IN MEANINGFUL WORK OPTIONS, AND IN A RICH ARRAY OF SPIRITUAL, CULTURAL, EDUCATIONAL, AND ARTISTIC ACTIVITIES. 0 0 503107 516688 RESIDENTIAL IRA PROGRAM AND DAY HABILITATION - CAMPHILL HUDSON WORKS TO BUILD HEALTHY SOCIAL RELATIONSHIPS IN AN ENVIRONMENT DEDICATED TO PERSONAL AND SOCIAL HEALING, AND CARING FOR THE EARTH. OUR MISSION IS TO BUILD COMMUNITY WITH PEOPLE OF ALL ABILITIES THROUGH LIVING, LEARNING, WORKING, AND PLAYING WITH PEOPLE OF ALL AGES, RACES, ABILITIES, AND CREEDS. APPROXIMATELY 60 UNITS WERE SERVED IN THE IRA PROGRAM DURING THE FISCAL YEAR. THE DAY HABILITATION PROGRAM PROVIDED A TOTAL OF 1,327 BILLABLE UNITS. 503107 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 21 0 1 10 1 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X KAM BELLAMY 5183294851 84 CAMPHILL ROAD COPAKE NY 12516 BOB NORRIS PRESIDENT 1.00 X X 0 0 0 LEE EDWARDS SECRETARY 1.00 X X 0 50359 18920 TIM PAHOLAK MEMBER 1.00 X 0 0 0 ERIKA LAURION MEMBER 1.00 X 0 0 0 ALAN MILLER VICE PRESIDENT 1.00 X X 0 0 0 DAVID LEWIS TREASURER 1.00 X X 0 0 0 JODY BROOKES ASSISTANT SECRETARY 1.00 X 37527 0 13706 ALICIA TENNY CFO & ASSISTANT TREASURER 5.00 35.00 X 0 125683 19690 KAM BELLAMY EXECUTIVE DIRECTOR 40.00 5.00 X 72925 0 12652 110452 176042 64968 0 0 0 0 CAMPHILL VILLAGE USA INC 84 CAMPHILL ROAD COPAKE NY 12516 ADMIN. AND CARE SERVICES 153510 1 95000 59897 154897 MEDICAID 623990 300064 300064 PROGRAM SERVICE FEES 623990 106160 106160 VILLAGER FEES 623990 63777 63777 470001 59301 34757 24544 24544 OTHER INCOME 623990 22143 22143 22143 671585 516688 0 0 X 85577 21394 64183 114919 50426 64493 35806 19613 16193 18198 5527 12671 159719 156660 3059 11775 11775 36328 33454 2874 24399 24399 17733 17733 27248 27248 SUPPLIES 65443 65443 REPAIRS & MAINTENANCE 34987 34987 FURNITURE & EQUIPMENT 13812 13812 VEHICLE 10042 10042 12195 10594 1601 668181 503107 165074 0 7312 32275 126744 91019 0 19319 15360 15995 102998 35877 84854 67121 234270 225729 64051 54870 57679 54915 121730 109785 X 112540 115944 112540 115944 234270 225729 3404 0 X X 0 1 X 1 0 X 152436 154897 307333 152175 313512 294115 516688 1276490 152175 313512 446551 671585 1583823 0 0 0 1583823 152175 313512 446551 671585 1583823 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 27675 3921 23754 75323 31956 43367 67121 DUE TO RELATED PARTIES 54915 54915 X 706342 0 706342 -34757 -34757 671585 702938 34757 34757 668181 0 668181 PART X, LINE 2: PART X, LINE 2: FINANCIAL STATEMENT FOOTNOTE 2, INCOME TAXES, INCLUDES A DISCLOSURE RELATED TO UNCERTAIN TAX POSITIONS UNDER FIN 48. THE TEXT RELATED TO THE ORGANIZATION'S LIABILITY IS AS FOLLOWS: FOR TAX EXEMPT ENTITIES, THEIR TAX EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEAPORDIZE THEIR TAX-EXEMPT STATUS. AS OF MARCH 31, 2014 AND 2013, THE ORGANIZATION DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. PART XI, LINE 4B - OTHER ADJUSTMENTS: COGS - GIFT SHOP -34,757. PART XII, LINE 2D - OTHER ADJUSTMENTS: COGS - GIFT SHOP 34,757. FORM 990, PART VI, SECTION A, LINE 6 CAMPHILL VILLAGE COPAKE FOUNDATION, INC. IS THE SOLE CORPORATE MEMBER AND HAS THE RIGHT TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A CAMPHILL VILLAGE COPAKE FOUNDATION, INC (EIN # 20-4565002) IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER (CVCF) SHALL HAVE SUCH POWERS AND RIGHTS AS ARE SET FORTH IN THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW, THE CERTIFICATE OF INCORPORATION AND THESE BY-LAWS. WITHOUT LIMITATION TO AND IN ADDITION SUCH POWERS AND RIGHTS, THE MEMBER SHALL HAVE THE EXCLUSIVE AUTHORITY TO AUTHORIZE THE FOLLOWING ACTIONS, AND THE CORPORATION SHALL NOT HAVE AUTHORITY TO TAKE ANY OF SUCH ACTIONS UNLESS SUCH ACTION HAS BEEN APPROVED BY THE MEMBER (PROVIDED, HOWEVER, THAT WITH RESPECT TO THE FOLLOWING ACTIONS, THE MEMBER SHALL AUTHORIZE SUCH ACTIONS SOLELY THROUGH ITS BOARD OF DIRECTORS AND SHALL NOT DELEGATE TO ANY OF ITS OFFICERS OR REPRESENTATIVES THE POWER TO AUTHORIZE SUCH ACTIONS): A. APPROVE THE STATEMENT OF MISSION AND/OR PHILOSOPHY OF THE CORPORATION. B. CHANGE THE CORPORATE PURPOSES OF THE CORPORATION. C. AMEND, RESTATE OR REPEAL THE BY-LAWS OF THE CORPORATION. D. APPROVE ANY MERGER, CONSOLIDATION, CONVERSION OR DISSOLUTION OF THE CORPORATION, OR THE FILING OF A PETITION IN BANKRUPTCY OR EXECUTION OF AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS. E. APPROVE THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. F. APPROVE ANY ACQUISITION, SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER TRANSFER OR CONVEYANCE OF ANY REAL PROPERTY OF THE CORPORATION. G. APPROVE THE CORPORATION ENGAGING IN ANY (I) ACQUISITION, SALE, LEASE, EXCHANGE, OR OTHER TRANSFER OR CONVEYANCE OF PERSONAL PROPERTY OF THE CORPORATION HAVING A VALUE IN EXCESS OF $50,000, OR (II) MORTGAGE OR PLEDGE OF, OR CREATION OF A SECURITY INTEREST IN, ALL OR ANY PART OF THE CORPORATIONS PERSONAL PROPERTY, OR ANY INTEREST THEREIN. H. APPROVE ANY STRATEGIC PLAN OF THE CORPORATION. I. APPROVE THE CORPORATIONS UNDERTAKING OR ENGAGING ITSELF IN RESPECT OF ANY BOND ISSUANCE OR ANY OTHER INDEBTEDNESS FOR BORROWED MONEY, OR ANY LENDING OF FUNDS BY THE CORPORATION TO AN UNRELATED PERSON, CORPORATION OR OTHER LEGAL ENTITY, INCLUDING WITHOUT LIMITATION ANY CAPITAL LEASES (OTHER THAN INDEBTEDNESS TO PROVIDE FUNDS FOR EXPENDITURES NECESSARY IN ORDER FOR THE CORPORATION TO BE IN COMPLIANCE WITH APPLICABLE LAWS, RULES AND REGULATIONS AND STATE LICENSING AND ACCREDITATION REQUIREMENTS, TO THE EXTENT SUCH FUNDS ARE NOT OTHERWISE REASONABLY AVAILABLE), REPRESENTING OBLIGATIONS OF THE CORPORATION IN EXCESS OF $5,000. J. APPROVE THE ADOPTION BY THE CORPORATION OF PROPOSED SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNTS RESERVED IN RESPECT THEREOF OF ANY APPLICABLE SELF-INSURANCE FUND. K. APPROVE ANY CORPORATE REORGANIZATION OF THE CORPORATION OR THE ESTABLISHMENT OR DISSOLUTION OF ANY SUBSIDIARY ORGANIZATIONS OF THE CORPORATION. L. APPROVE OR DIRECT THE TAKING OF ANY OTHER ACTION OF THE CORPORATION OUTSIDE OF THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT COMMITTEE REVIEWS THE 990. IT IS THEN PASSED ON TO THE CFO, AND EXECUTIVE DIRECTOR FOR REVIEW. THIS IS DONE EVERY TIME A FORM 990 IS GOING TO BE FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO FILL OUT CONFLICT OF INTEREST FORMS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15A SALARIES ARE DETERMINED BASED ON JOB DESCRIPTION, YEARS OF EXPERIENCE, AND YEARS OF EDUCATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION GIVES THE PUBLIC THE OPTION TO RECEIVE ANY GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 156,660. MANAGEMENT AND GENERAL EXPENSES 3,059. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,719. FORM 990, PART XI, LINE 2C: NO CHANGE FROM PRIOR YEAR. CAMPHILL VILLAGE COPAKE FOUNDATION INC 84 CAMPHILL ROAD COPAKE NY 12516 204565002 FIN'L SUPPORT TO CAMPHILL VILLAGE USA & ITS PROGS FOR ADULTS W/ SPECIAL NEED NY 501(C)(3) LINE 11A, I CAMPHILL VILLAGE USA INC 0 CAMPHILL GHENT INC 84 CAMPHILL ROAD COPAKE NY 12516 270489223 DEVELOPMENT OF AN ELDER CARE COMMUNITY NY 501(C)(3) LINE 9 CAMPHILL VILLAGE USA INC 0 CAMPHILL VILLAGE USA INC 84 CAMPHILL ROAD COPAKE NY 12516 141463358 BUILD A STRONG COMMUNITY INCLUDING ADULTS WITH SPECIAL NEEDS. NY 501(C)(3) LINE 9 0 0 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 1 0 CAMPHILL VILLAGE COPAKE FOUNDATION INC C 95000 CAMPHILL VILLAGE USA INC K 15969 CAMPHILL VILLAGE USA INC M 133779 CAMPHILL VILLAGE USA INC E 27715 CAMPHILL VILLAGE COPAKE FOUNDATION INC E 27200