2015-12-14T08:38:26-06:00 2015-03-31 161131146 BONADIO & CO LLP 6 WEMBLEY COURT ALBANY NY 12205 990 2014-04-01 270489223 CAMPHILL GHENT INC CAMP 5183921014 2542 ROUTE 66 GHENT NY 12075 BEN MATLOCK DIRECTOR FOR FINANCE 5183921014 2015-12-04 1 JOHN C OLSEN P00321116 5184644080 2015-12-04 2014 2016-04-25 22:37:26Z BEN MATLOCK 2542 ROUTE 66 GHENT NY 12075 3194453 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. 12 7 44 17 0 0 2010223 1116553 2398695 2045259 0 -100922 82500 3702 4491418 3064592 0 0 0 0 1499689 1757504 0 0 30875 2244902 2363093 3744591 4120597 746827 -1056005 23713415 22448646 13817956 13609192 9895459 8839454 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 614717 842263 INDEPENDENT LIVING - RESIDENTIAL COMMUNITY SETTING WITH VARYING SUPPORT FOR SENIORS AS THEY AGE. APPROXIMATELY 25-30 UNITS OCCUPIED DURING THE YEAR. 2960996 1202996 ADULT HOME - RESIDENTIAL COMMUNITY SETTING WITH VARYING SUPPORT FOR SENIORS AS THEY AGE. APPROXIMATELY 22 - 26 UNITS OCCUPIED DURING THE YEAR. 3575713 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 36 0 1 44 1 0 0 0 0 0 0 0 0 0 0 X 12 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X WILLIAM KOLBERG CFO 5183297924 84 CAMPHILL RD COPAKE NY 12516 WILLIAM H VOGT CHAIRMAN 5.00 10.00 X X 0 0 0 JOHN CARROLL SECRETARY 5.00 1.00 X X 0 0 0 RICK BIANCHI TREASURER 5.00 1.00 X X 0 0 0 ROBERT NORRIS DIRECTOR 5.00 1.00 X 0 0 0 GABRIELLA SPERRY DIRECTOR 5.00 5.00 X 0 0 0 ANNA REE DIRECTOR 5.00 1.00 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 RICHARD STEEL DIRECTOR 5.00 1.00 X 0 0 0 GRY BRUDVIK DIRECTOR 40.00 0.00 X 44780 0 3496 CHRISTINE FISH-ACKER DIRECTOR 5.00 24.00 X 0 50802 2050 DAVID CLARK ASSISTANT TREASURER (NON-VOTING) 20.00 20.00 X 0 48482 4842 DEBORAH GRACE EXECUTIVE DIRECTOR 40.00 0.00 X 80964 0 3169 ALICIA TENNY CFO 20.00 20.00 X 0 127626 11328 125744 226910 24885 0 0 0 0 0 1037850 78703 1116553 RENTAL INCOME 623990 1175928 1175928 MEDICAID INCOME 623990 368915 368915 OTHER INCOME AND FEES 623990 291907 291907 ENTRANCE FEE AMORTIZATION 623990 208509 208509 2045259 854 854 101776 -101776 -101776 -101776 31787 28085 3702 3702 3064592 2045259 0 -97220 132409 68468 63941 1145270 1035103 107676 2491 19215 19215 338988 306737 32084 167 121622 80916 40515 191 16064 1148 14916 32430 32430 47448 33124 4633 9691 32111 18689 2380 11042 171347 118015 47476 5856 187013 171360 15653 29083 19064 9371 648 343632 318444 25188 630890 566412 64478 112973 104948 8025 CO-WORKER EXPENSES 176021 176021 FOOD 163891 162037 1814 40 REPAIRS AND MAINTENANCE 153413 153410 3 MISCELLANEOUS 78459 44359 33357 743 188318 178243 10069 6 4120597 3575713 514009 30875 1221042 507424 191358 167598 41785 67035 23288470 1876642 21918067 21411828 341163 294761 23713415 22448646 306737 265773 235083 147667 4960125 4844815 8316011 8350937 13817956 13609192 X 9895459 8839454 9895459 8839454 23713415 22448646 -1056005 0 X X 0 1 X 1 0 X 8779 1089950 327256 2010223 1116553 4552761 159533 1757939 2398695 2045259 6361426 8779 1249483 2085195 4408918 3161812 10914187 0 0 0 10914187 200 662 6419 854 8135 200 662 6419 854 8135 8979 1250145 2091614 4408918 3162666 10922322 0.99930 0.99910 0.00070 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 1725803 1725803 21196235 1764813 19431422 145438 33884 111554 220994 77945 143049 21411828 DUE TO RELATED PARTIES 8207648 CAPITAL LEASE OBLIGATION 143289 8350937 3092677 28085 28085 3064592 0 3064592 4148682 28085 28085 4120597 0 4120597 PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES CONCERT SERIES 31787 31787 28085 31787 31787 28085 28085 3702 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 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 15 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 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 CAMPHILL VILLAGE COPAKE FOUNDATION INC E 7357064 CAMPHILL VILLAGE COPAKE FOUNDATION INC C 1037850 CAMPHILL VILLAGE COPAKE FOUNDATION INC E 635284 CAMPHILL VILLAGE COPAKE FOUNDATION INC (GUARANTEE) E 4844815 CAMPHILL VILLAGE USA INC P 166950 CAMPHILL VILLAGE USA INC L 86940