2015-08-13T13:53:20-05:00 2014-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2013-10-01 061458630 SEABURY CHARITABLE FOUNDATION INC SEAB 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 ROBERT STANWOOD TREASURER 8602860243 2015-08-11 1 ELIZABETH SOLECKI P00235171 8605614000 2015-08-11 2013 2016-03-07 17:11:31Z ROBERT STANWOOD 200 SEABURY DRIVE BLOOMFIELD CT 060022650 572358 0 X N/A X 1996 CT TO SUPPORT CHURCH HOME OF HARTFORD, WHICH PROVIDES HOUSING AND SERVICES TO THE ELDERLY. 11 11 0 0 0 0 94869 58419 0 0 299240 401549 36407 71447 430516 531415 132890 169216 0 0 0 0 0 0 0 147078 158800 279968 328016 150548 203399 6145212 6679365 436203 517887 5709009 6161478 TO SUPPORT CHURCH HOME OF HARTFORD, WHICH PROVIDES HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY. 0 0 328016 169216 0 TO SUPPORT CHURCH HOME OF HARTFORD, INC. WHICH OPERATES A HEALTH CARE AND INDEPENDENT LIVING COMMUNITY FOR THE ELDERLY. CHURCH HOME OF HARTFORD, INC. IS AFFILIATED WITH THE EPISCOPAL DIOCESE OF CONNECTICUT. ALSO, TO SUPPORT SEABURY MEMORY CARE CENTER, INC., WHICH OPERATES AN ASSISTED LIVING ALZHEIMER FACILITY FOR THE ELDERLY. 328016 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 CT X STEVEN YANOFSKY CHURCH HOME VP FIN 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 X KATHERINE CARLE MEMBER 0.30 0.00 X 0 0 0 A RAYMOND MADORIN MEMBER 0.30 1.20 X 0 0 0 PAUL GLOVER III MEMBER 0.30 0.30 X 0 0 0 PRISCILLA VIETS MEMBER 0.30 0.60 X 0 0 0 BETTE JANE HARDERSEN PRESIDENT 0.30 0.60 X X 0 0 0 WINNIE GRANGER VICE PRESIDENT 0.30 0.60 X X 0 0 0 ROBERT STANWOOD TREASURER 0.30 0.90 X X 0 0 0 BARBARA BEECHING SECRETARY 0.30 0.00 X X 0 0 0 KENNETH BROCK ASSISTANT SECRETARY 0.30 0.00 X X 0 0 0 WILLIAM J THOMPSON MEMBER 0.30 0.60 X 0 0 0 ANN WINSHIP MEMBER 0.30 0.00 X 0 0 0 0 0 0 0 0 0 0 CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DR BLOOMFIELD CT 06002 CONTRACTED STAFFING 104653 1 58419 58419 109265 109265 292284 0 292284 292284 292284 63012 29828 33184 33184 49378 11115 38263 38263 531415 0 0 472996 169216 169216 400 400 110 110 3805 3805 CONTRACTED STAFFING 92562 92562 BANK SERVICES 52403 52403 MISCELLANEOUS 7068 7068 TAXES AND LICENSES 1060 1060 1392 1392 328016 328016 0 0 53002 141355 85448 85448 11461 6006762 6441101 6145212 6679365 11993 14348 424210 503539 436203 517887 X 5681304 6134962 27705 26516 5709009 6161478 6145212 6679365 203399 249070 0 X 0 1 X 1 0 X X X 0 0 0 CHURCH HOME OF HARTFORD INCORPORATED 060293500 9 1 1 114283 SEABURY MEMORY CARE CENTER INC 200158017 9 0 1 54933 2 169216 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6006762 684851 250512 6441101 5455820 669835 118893 6006762 4819212 861206 224598 5455820 5069971 -151507 99252 4819212 4972668 30000 467061 399758 5069971 1.00000 0.00000 0.00000 0 0 0 ANNUITY PAYMENT LIABILITY 503539 503539 821428 249070 249070 572358 -40943 -40943 531415 368959 40943 40943 328016 0 328016 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO SUPPORT CHURCH HOME OF HARTFORD, INCORPORATED AND ITS SUBSIDIARIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: GOLF TOURNAMENT EXPENSES -29,828. VILLAGE STORE COST OF GOODS SOLD -11,115. PART XII, LINE 2D - OTHER ADJUSTMENTS: GOLF TOURNAMENT EXPENSES 29,828. VILLAGE STORE COST OF GOODS SOLD 11,115. GOLF TOURNAMENT 63012 63012 29828 63012 63012 29828 29828 33184 1 CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 060293500 501(C)(3) 114283 RESIDENT SCHOLARSHIPS AND OTHER CHARITABLE SEABURY MEMORY CARE INC 200 SEABURY DRIVE BLOOMFIELD CT 06002 200158017 501(C)(3) 54933 RESIDENT SCHOLARSHIPS AND OTHER CHARITABLE 2 0 FORM 990, PART VI, SECTION A, LINE 6 CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. FORM 990, PART VI, SECTION A, LINE 7A CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. AS MEMBERS, THEY ELECT THE BOARD OF DIRECTORS OF SEABURY CHARITABLE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BYLAWS AND ARTICLES MUST BE APPROVED BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AFTER FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REVIEWING THE POLICY AT ORIENTATION AND AT MEETINGS THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE VICE PRESIDENT/CEO IS COMPENSATED BY CHURCH HOME OF HARTFORD, INCORPORATED, THEREFORE, HIS COMPENSATION IS DETERMINED BY THE BOARD OF CHURCH HOME OF HARTFORD. COMPENSATION IS DETERMINED USING A REVIEW OF LIKE ORGANIZATIONS, 990 REPORT FOR TOP PAID EMPLOYEES, AND USE OF ASSOCIATION WAGE SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE DOCUMENTS ARE RETAINED IN SEABURY'S LIBRARY. CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 060293500 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY CT 501(C)3 509(A)(2) 0 SEABURY AT HOME INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 205096169 TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY CT 501(C)3 509(A)(2) 0 SEABURY MEMORY CARE CENTER INC 200 SEABURY DRIVE BLOOMFIELD CT 06002 200158017 PROVIDE HOUSING AND HEALTH SERVICES TO ALZHEIMER'S PATIENTS CT 501(C)3 509(A)(2) 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0