2015-01-21T09:14:31-06:00 2014-06-30 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 500 ORLANDO FL 32801 990 2013-07-01 650091025 SARASOTA-MANATEE JEWISH HOUSING COUNCIL INC SARA 9413370781 1951 NORTH HONORE AVENUE SARASOTA FL 34235 DAVID LARSON CHIEF FINANCIAL OFFICER 9413370781 2015-01-20 1 AMY CHAPMAN P00843460 4078021200 2015-01-19 2013 2016-03-07 17:11:31Z HEIDI BROWN 1951 NORTH HONORE AVENUE SARASOTA FL 34235 16356361 0 X WWW.KOBERNICKANCHIN.ORG X 1988 FL THE ORGANIZATION FOSTERS AND PROMOTES DEVELOPMENT OF HOUSING AND RELATED SERVICES TO MEET THE NEEDS OF SENIOR ADULTS. 16 16 373 714 0 0 472412 309600 16209813 16033533 1235 1585 19005 11643 16702465 16356361 0 0 0 0 6616626 6960608 0 0 0 8737958 9453710 15354584 16414318 1347881 -57957 26696870 25648679 40262875 39299724 -13566005 -13651045 X THE ORGANIZATION FOSTERS AND PROMOTES DEVELOPMENT OF HOUSING AND RELATED SERVICES TO MEET THE NEEDS OF SENIOR ADULTS. 0 0 13532724 16045176 THE ORGANIZATION OPERATES KOBERNICK HOUSE, AN INDEPENDENT LIVING RETIREMENT COMMUNITY CONSISTING OF 191 RENTAL APARTMENT UNITS AND ANCHIN PAVILION WHICH CONSISTS OF AN ASSISTED LIVING FACILITY AND A SKILLED NURSING FACILITY THE ASSISTED LIVING CONSISTS OF 70 UNITS, OF WHICH 26 ARE FOR MEMORY IMPAIRMENT. BENDERSON FAMILY SKILLED NURSING AND REHABILITATION CONSISTS OF 50 SKILLED NURSING BEDS. IN ADDITION TO THE INDEPENDENT, ASSISTED LIVING UNITS AND SKILLED NURSING THE BUILDINGS HAVE COMMON AREAS CONSISTING OF DINING AND ACTIVITIES AREAS. THE ANCHIN PAVILION IS AVAILABLE TO RESIDENTS TRANSFERRING FROM THE KOBERNICK HOUSE BECAUSE OF THEIR NEED FOR A HIGHER LEVEL OF CARE, AS WELL AS RESIDENTS FROM THE GENERAL COMMUNITY. BENDERSON IS AVAILABLE TO RESIDENTS FROM KOBERNICK AND ANCHIN THAT REQUIRE A HIGHER LEVEL OF CARE, AS WELL AS RESIDENTS FROM THE COMMUNITY. 13532724 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 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 47 0 373 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X HEIDI BROWN 9413770781 1951 NORTH HONORE AVENUE SARASOTA FL 34235 HYMAN POLAKOFF TREASURER 1.00 0.00 X X 0 0 0 KENNETH STOCK IMMEDIATE PAST PRESIDENT 1.00 0.00 X X 0 0 0 DR LARRY HASPEL PRESIDENT 1.00 2.00 X X 0 0 0 SHEILA BIRNBAUM SECRETARY 1.00 2.00 X X 0 0 0 JOSEPH BORNSTEIN VICE PRESIDENT 5.00 0.00 X X 0 0 0 BARBARA BASEMAN TRUSTEE 1.00 0.00 X 0 0 0 DEBBIE DOUGLAS TRUSTEE 1.00 0.00 X 0 0 0 HOWARD GREBER TRUSTEE 1.00 0.00 X 0 0 0 MARTIN MARCUS TRUSTEE 1.00 0.00 X 0 0 0 ELKAN RIES TRUSTEE 1.00 0.00 X 0 0 0 EUGENE SCHILLER TRUSTEE 1.00 0.00 X 0 0 0 DEBBIE YONKER TRUSTEE 1.00 0.00 X 0 0 0 LOUIS SIEGEL TRUSTEE 1.00 0.00 X 0 0 0 JAMES SLAVIN TRUSTEE 1.00 0.00 X 0 0 0 ALAN SILVERGLAT TRUSTEE 10.00 0.00 X 0 0 0 RANDY BENDERSON TRUSTEE 1.00 0.00 X 0 0 0 RUTH KLEIN THURBER TRUSTEE 1.00 0.00 X 0 0 0 MARIA DECARLO TRUSTEE 1.00 0.00 X 0 0 0 JACK STEENBARGER TRUSTEE 3.00 0.00 X 0 0 0 DARLENE ARBEIT FORMER CEO (TERM JAN 2014) 35.00 5.00 X 206978 0 0 HEIDI BROWN CHIEF EXECUTIVE OFFICER 35.00 5.00 X 0 0 0 SHARON MITCHELL CHIEF FINANCIAL OFFICER 35.00 5.00 X 85524 0 0 292502 0 0 1 0 1 0 REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 631503534 SPEECH, PHYSICAL, OCCUPATIONAL REHAB 683635 OMNICARE PO BOX 78000 DETROIT MI 482781668 PHARMACEUTICALS 181794 SHUMAKER LOOP & KENDRICK LLP PO BOX 49948 SARASOTA FL 342306948 LEGAL 175182 ADVANCED ANSWERS ON DEMAND 11575 HERON BAY BLVD STE 200 CORAL SPRINGS FL 33076 SOFTWARE 158804 CHAPPIES CARPET & FLOORS INC 3913 CLARK RD SARASOTA FL 34242 FLOORING 154840 5 293045 16555 309600 RENTAL INCOME 623000 15447095 15447095 ANCILLIARY INCOME 623000 377638 377638 REFURBISHING INCOME 623000 208800 208800 16033533 1585 1585 MISCELLANEOUS INCOME 900099 11643 11643 11643 16356361 16045176 0 1585 222116 222116 5672610 4610612 1061998 37693 25275 12418 616637 511030 105607 411552 338019 73533 340085 340085 108888 108888 554 554 96929 96929 631850 585088 46762 1036570 968820 67750 16240 3747 12493 2155712 2155712 1401581 1401581 131277 131277 FOOD AND DINING EXPENSE 939012 933504 5508 OUTSIDE SERVICES 804060 624695 179365 AHCA FEE 694908 694908 0 REPAIRS AND MAINTENANCE 375413 193248 182165 720631 389556 331075 16414318 13532724 2881594 0 1072959 1317769 945628 1805465 1301265 573180 35797 31837 186200 213569 36874917 19156937 18131281 17717980 5023740 3988879 26696870 25648679 2523409 1903847 893836 889700 36845630 36489023 0 17154 40262875 39299724 X -13791889 -13876929 225884 225884 -13566005 -13651045 26696870 25648679 X -57957 -27083 X X 0 1 X 1 0 X 622316 453347 2769072 472412 309600 4626747 9275027 9715990 13650069 16209813 16033533 64884432 9897343 10169337 16419141 16682225 16343133 69511179 0 0 0 69511179 6193 7175 1119 1235 1585 17307 6193 7175 1119 1235 1585 17307 64425 20195 57027 19005 11643 172295 9967961 10196707 16477287 16702465 16356361 69700781 0.99730 0.99650 0.00020 0.00080 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2009 AMOUNT: $ 64,425. 2010 AMOUNT: $ 20,195. 2011 AMOUNT: $ 57,027. 2012 AMOUNT: $ 19,005. 2013 AMOUNT: $ 11,643. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 11676 18125 20254 9547 0 1593268 1593268 26899758 12580843 14318915 4053857 3191642 862215 4328034 3384452 943582 17717980 DEFFERED FINANCING COSTS 615525 SPLIT INTEREST AGREEMENTS 309681 DEBT SERVICE RESERVE FUND 2546286 BOND RESERVE FUND 484461 DUE FROM FOUNDATION 32926 3988879 LEASE OBLIGATIONS 17154 17154 X PART IV, LINE 1B: THE ORGANIZATION MAINTAINS TRUST ACCOUNTS ON BEHALF OF THE RESIDENTS OF ANCHIN PAVILION. THE ACCOUNTS REMAIN THE PROPERTY OF THE RESIDENTS AND DISBURSEMENTS ARE MADE ONLY WHEN REQUESTED BY THE RESIDENTS. THE ORGANIZATION ONLY SERVES AS A CUSTODIAN BECAUSE OF ITS FIDUCIARY DUTY OF ACCOUNTABILITY FOR THE FUNDS. PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION'S ACTIVITIES HAVE BEEN IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSE, AND MANAGEMENT IS OF THE OPINION THAT THERE IS NO UNRELATED BUSINESS INCOME SUBJECT TO TAXATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATION'S 2010 TO 2012 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. X X X 1 0 0 0 0 0 0 0 0 DARLENE ARBEIT FORMER CEO (TERM JAN 2014) 206978 0 0 0 0 0 0 0 0 0 206978 0 0 0 PART I, LINE 4A DARLENE ARBEIT WILL RECEIVE MONTHLY SEVERANCE PAYMENTS FROM FEBRUARY 2014 THROUGH JANUARY 2015 RESULTING IN A TOTAL SEVERANCE PAYOUT OF $135,000. A SARASOTA COUNTY HEALTH FACILITIES AUTHORITY 596000848 80329LBQ1 2007-07-19 38420000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 33159897 37281490 2545913 833904 741776 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, SCHEDULE K, PART 1, LINE A, COLUMN F TO REFINANCE THE SARASOTA COUNTY HEALTH FACILITIES AUTHORITY'S HEALTH CARE REVENUE BONDS, SERIES 2055, AND FINANCE THE COST OF CAPITAL IMPROVEMENTS TO KOBERNICK HOUSE AND ANCHIN PAVILION. FORM 990, SCHEDULE K, PART 1, LINE A, COLUMN C THE SERIES 2007 BOND REPORTED ON SCHEDULE K CONSISTS OF THREE DIFFERENT BONDS. THE ISSUE PRICES AND CUSIP NUMBERS OF EACH ARE ISSUE PRICE CUSIP NUMBER $9,440,000 80329LBN8, $11,410,000 80329LBP3, $17,570,000 80329LBQ1. FORM 990, SCHEDULE K, PART 1, LINE A, COLUMN A THE TOTAL PROCEEDS FOR SERIES 2007A BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART 1, COLUMN E. THE DIFFERENCE IS AN UNDERWRITERS DISCOUNT OF $1,138,510. FORM 990, PART VI, SECTION A, LINE 1 HENRY MASON, MARIE BROWN, KEN STOCK AND STEVEN GREENFIELD ARE HONORARY LIFETIME MEMBERS OF THE BOARD OF DIRECTORS AND DO NOT MAINTAIN ANY VOTING RIGHTS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS FIRST REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. THE FORM 990 IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S FINANCE COMMITTEE MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THERE WERE NO CONFLICTS REPORTED DURING THE CURRENT YEAR. HOWEVER, IN THE EVENT A CONFLICT WAS REPORTED, A REIVEW WOULD BE PERFORMED BY THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE IS INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENT BEING CONSIDERED. THE EXECUTIVE COMMITTEE UTILIZES COMPARABILITY SURVEYS WITHIN THE SAME INDUSTRY AS THE ORGANIZATION. 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 XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -27,083. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THERE WAS A NO CHANGE IN THE PROCESS FROM PRIOR YEAR. FORM 990, PART VII: SECTION A, COLUMN B TIME DEVOTED TO JEWISH HOUSING COUNCIL FOUNDATION, INC. - EIN# 20-0910348 NAME TITLE HRS/WK DR. LARRY HASPEL TRUSTEE 2.00 SHEILA BIRNBAUM TRUSTEE 2.00 DARLENE ARBEIT FORMER CEO (TERM JAN 2014) 5.00 HEIDI BROWN CHIEF EXECUTIVE OFFICER 5.00 SHARON MITCHELL CHEIF FINANCIAL OFFICER 5.00 JEWISH HOUSING COUNCIL FOUNDATION INC 1951 NORTH HONORE AVENUE SARASOTA FL 34235 200910348 PROVIDE FINANCIAL SUPPORT TO THIS ORGANIZATION FL 501(C)(3) LINE 11C, III-FI N/A 0 GULF COAST COMMUNITY FOUNDATION INC 11975 SEAWAY ROAD GULFPORT MS 39503 570908490 GRANTS FUNDS TO OTHER CHARITBLE ORGANIZATIONS MS NO 110880 1.00000 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1