2015-02-13T08:28:49-06:00 2014-03-31 161131146 BONADIO & CO LLP 6 WEMBLEY COURT ALBANY NY 12205 990 2013-04-01 270489223 CAMPHILL GHENT INC CAMP 5183921014 2542 ROUTE 66 GHENT NY 12075 WILLIAM VOGT PRESIDENT 5183921014 2015-01-30 1 JOHN C OLSEN P00321116 5184644080 2015-01-30 2013 2016-03-07 17:11:31Z WILLIAM VOGT 2542 ROUTE 66 GHENT NY 12075 4491418 0 X WWW.CAMPHILLGHENT.ORG X 2009 NY CAMPHILL GHENT IS A RESIDENTIAL COMMUNITY FOR ELDERS WHO APPRECIATE LIVING INDEPENDENTLY WITHIN A LIVELY COMMUNITY, BUT WHO WOULD ALSO LIKE OCCASIONAL HELP WITH DAILY CHALLENGES, RANGING FROM HOUSEKEEPING AND COOKING TO MAINTENANCE AND DRIVING SERVICES. THE MISSION IS INSPIRED BY THE TRADITIONS AND VALUES OF ANTHROPOSOPHY: TO CARE FOR, CELEBRATE, EMBRACE AND HONOR THE SPECIAL STRENGTHS AND NEEDS OF THOSE IN THEIR ELDER YEARS. 11 5 46 13 0 0 327256 2010223 1757939 2398695 6419 0 0 82500 2091614 4491418 0 0 0 0 1333548 1499689 0 0 38118 2277948 2244902 3611496 3744591 -1519882 746827 23294681 23713415 14146049 13817956 9148632 9895459 X CAMPHILL GHENT IS A RESIDENTIAL COMMUNITY FOR ELDERS WHO APPRECIATE LIVING INDEPENDENTLY WITHIN A LIVELY COMMUNITY, BUT WHO WOULD ALSO LIKE OCCASIONAL HELP WITH DAILY CHALLENGES, RANGING FROM HOUSEKEEPING AND COOKING TO MAINTENANCE AND DRIVING SERVICES. THE MISSION IS INSPIRED BY THE TRADITIONS AND VALUES OF ANTHROPOSOPHY: TO CARE FOR, CELEBRATE, EMBRACE AND HONOR THE SPECIAL STRENGTHS AND NEEDS OF THOSE IN THEIR ELDER YEARS. 0 0 676991 1099394 INDEPENDENT LIVING - RESIDENTIAL COMMUNITY SETTING WITH VARYING SUPPORT FOR SENIORS AS THEY AGE. 25-30 UNITS OCCUPIED DURING THE YEAR. 2472709 1299301 ADULT HOME - RESIDENTIAL COMMUNITY SETTING WITH VARYING SUPPORT FOR SENIORS AS THEY AGE. 2 -29 UNITS OCCUPIED DURING THE YEAR. 3149700 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 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 58 0 1 46 1 0 0 0 0 0 0 0 0 0 0 X 11 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 NY X X BEN MATLOCK DIRECTOR FOR FINANCE 5183294851 84 CAMPHILL RD COPAKE NY 12516 WILLIAM H VOGT CHAIRMAN 5.00 1.00 X X 0 0 0 CHRISTINE FISH-ACKER SECRETARY 5.00 1.00 X X 0 78288 3803 ROBERT G NORRIS DIRECTOR 5.00 1.00 X 0 0 0 ELVIRA NEAL DIRECTOR 5.00 1.00 X 0 0 0 ANNA REE DIRECTOR 5.00 1.00 X 0 0 0 GABRIELLA SPERRY DIRECTOR 5.00 1.00 X 0 0 0 RICK BIANCHI TREASURER 5.00 1.00 X X 0 0 0 KEITH BOGDANOVICH DIRECTOR 5.00 1.00 X 0 0 0 JON ALLEN DIRECTOR 5.00 1.00 X 0 0 0 JOHN CARROLL DIRECTOR 5.00 1.00 X 0 0 0 GRY BRUDVIK DIRECTOR 5.00 1.00 X 17894 0 855 ALICIA TENNY CFO/ASSISTANT TREASURER 20.00 20.00 X 0 125683 19690 DEBORAH GRACE EXECUTIVE DIRECTOR 40.00 X 58312 0 3571 76206 203971 27919 0 0 0 0 0 1951314 58909 2010223 RENTAL INCOME 623990 1293619 1293619 ENTRANCE FEE AMORTIZAT 623990 596651 596651 MEDICAID INCOME 623990 382102 382102 OTHER INCOME AND FEES 623990 126323 126323 2398695 INSURANCE ADJUSTMENT 900099 82500 82500 82500 4491418 2398695 0 82500 61883 15471 46412 1081315 828051 231299 21965 25462 18587 6111 764 215824 161714 50155 3955 115205 85252 27733 2220 35800 35800 25915 24495 1420 75249 1420 73829 12195 5700 5031 1464 181014 165986 15028 158472 137871 20601 35229 27479 7750 305250 305250 600303 600303 86136 6982 79154 CO-WORKER EXPENSES 216211 216211 FOOD 160249 160249 REPAIRS AND MAINTENANCE 145720 145720 COMPLIANCE EXPENSES 48905 48905 158254 158254 3744591 3149700 556773 38118 708986 1221042 205079 191358 112931 41785 23180955 1262888 21772902 21918067 494783 341163 23294681 23713415 462963 306737 635137 235083 5072023 4960125 7975926 8316011 14146049 13817956 X 9148632 9895459 9148632 9895459 23294681 23713415 746827 0 X X 0 1 X 1 0 X 520 8779 1089950 327256 2010223 3436728 159533 1757939 2398695 4316167 520 8779 1249483 2085195 4408918 7752895 0 0 0 7752895 200 662 6419 7281 200 662 6419 7281 520 8979 1250145 2091614 4408918 7760176 0.99910 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 1725803 1725803 21177389 1187745 19989644 80376 22743 57633 197387 52400 144987 21918067 LOAN PAYABLE - RELATED PARTY 7357064 DUE TO RELATED PARTIES 797779 CAPITAL LEASE OBLIGATION 161168 8316011 X 4491418 0 4491418 0 4491418 3744591 0 3744591 0 3744591 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 JEOPARDIZE 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 EXEMPT ORGANIZATION RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. A COLUMBIA COUNTY CAPITAL RESOURCE CORPORATION 271072117 197409AA3 2010-12-29 5100000 CONSTRUCTION OF ELDER CARE COMMUNITY FACILITIES 0 0 0 A 5100000 312000 102000 4686000 2012 0 0 1 1 A 0 0 0 0 1 0 1 A 0 0 0 0 1 0 0 0 0 A 0 JON ALLEN DIRECTOR 20155 CONSULTING BY A COMPANY CONTROLLED BY JON ALLEN 0 FORM 990, PART VI, SECTION A, LINE 6 CAMPHILL VILLAGE USA (#14-1463358) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A CAMPHILL VILLAGE USA (#14-1463358) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION AND HAS THE RIGHT TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL APPROVE THE FOLLOWING ACTIONS: CHANGE IN CORPORATE PURPOSES; AMEND, RESTATE OR REPEAL THE BY-LAWS; APPROVE ANY MERGER, CONSOLIDATION, CONVERSION OR DISSOLUTION; FILING OF A PETITION IN BANKRUPTCY OR EXECUTION OF AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS; APPROVE THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; APPROVE THE ACQUISITION, SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER TRANSFER OR CONVEYANCE OF ANY REAL PROPERTY OF THE CORPORATION; APPROVE THE ACQUISITION, SALE, LEASE, EXCHANGE OR OTHER TRANSFER OR CONVEYANCE OF PERSONAL PROPERTY HAVING A VALUE IN EXCESS OF $50,000 OR MORTGAGE OR PLEDGE OF, OR CREATION OF A SECURITY INTEREST IN, ALL OR ANY PART OF THE CORPORATION'S PERSONAL PROPERTY OR INTEREST THEREIN; APPROVE THE STRATEGIC PLAN; APPROVE ANY BOND ISSUANCE OR OTHER INDEBTEDNESS FOR BORROWED MONEY OR ANY LENDING OF FUNDS BY THE CORPORATION TO AN UNRELATED PERSON, CORPORATION OR OTHER LEGAL ENTITY, INCLUDING ANY CAPITAL LEASES REPRESENTING OBLIGATIONS IN EXCESS OF $5,000; APPROVE PROPOSED SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNTS RESERVED IN RESPECT THEREOF OF ANY APPLICABLE SELF-INSURANCE FUND; APPROVE ANY CORPORATE REORGANIZATION OR ESTABLISHMENT OR DISSOLUTION OF ANY SUBSIDIARY; AND APPROVE OR DIRECT THE TAKING OF ANY OTHER ACTION OUTSIDE 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 TREASURER, 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 ALL MEMBERS OF THE BOARD ARE REQUIRED TO ANNUALLY EXECUTE A CONFLICT OF INTEREST DOCUMENT WHICH STATES THAT THEY HAVE RECEIVED, READ AND UNDERSTAND, AND AGREE TO COMPLY WITH THE CONFLICT OF INTEREST GUIDELINES. GENERALLY, THE SAME DOCUMENT REQUIRES BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY. THE CHAIRPERSON OF THE BOARD WILL, UPON NOTIFICATION OF SUCH AN EVENT, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY CAN RESULT IN APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. ALSO, ALL BOARD MEMBERS, BY EXECUTING THE CONFLICT OF INTEREST DOCUMENT, ACKNOWLEDGE THAT THEY SHARE THE RESPONSIBILITY OF THE ORGANIZATION TO REMAIN FAITHFUL TO ITS CHARITABLE PURPOSES. FORM 990, PART VI, SECTION B, LINE 15B SALARY FOR THE CEO/EXECUTIVE DIRECTOR AND CFO IS 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 FINANCIALS UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. CAMPHILL VILLAGE USA INC 84 CAMPHILL ROAD COPAKE NY 12516 141463358 TRAINING AND HOUSING OF ADULTS WITH SPECIAL NEEDS NY 501(C)(3) LINE 9 0 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 NEEDS NY 501(C)(3) LINE 11A, I CAMPHILL VILLAGE USA INC 0 CAMPHILL HUDSON INC 84 CAMPHILL ROAD COPAKE NY 12516 264101808 PROVIDE SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES NY 501(C)(3) LINE 9 CAMPHILL VILLAGE COPAKE FOUNDATION INC 0 0 0 1 1 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 CAMPHILL VILLAGE COPAKE FOUNDATION INC E 7357064 CAMPHILL VILLAGE COPAKE FOUNDATION INC C 1951314 CAMPHILL VILLAGE COPAKE FOUNDATION INC (GUARANTEE) E 4960125 CAMPHILL VILLAGE USA INC P 287826 CAMPHILL VILLAGE USA INC D 35811 CAMPHILL VILLAGE USA INC L 103265 CAMPHILL VILLAGE COPAKE FOUNDATION INC E 482378 CAMPHILL VILLAGE COPAKE FOUNDATION INC S 215000