2014-08-14T16:31:11-05:00 2013-09-30 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2012-10-01 592867652 WATERMAN COMMUNITIES INC WATE 3523830051 2250 BROOKFIELD AVENUE MOUNT DORA FL 32757 ANDREW DUJON 3523830051 2014-08-14 1 MELANIE A MCPEAK P01346034 7275314477 2012 2015-11-30 17:44:51Z WATERMAN VILLAGE OF MT DORA DALE LIND 2250 BROOKFIELD AVENUE MOUNT DORA FL 32757 31077033 0 X WWW.WATERMANVILLAGE.COM X 1987 FL TO PROVIDE HOUSING, HEALTHCARE AND OTHER SERVICES TO THE ELDERLY. 8 7 550 3 0 0 126543 67601 27544110 26756538 16233 -3532811 585089 638687 28271975 23930015 0 0 0 0 14109031 12731757 0 0 0 15889702 15132867 29998733 27864624 -1726758 -3934609 34194194 28036711 39611282 34771072 -5417088 -6734361 X AS A COMMUNITY CENTERED ORGANIZATION, WATERMAN COMMUNITIES, INC. MAKES IT POSSIBLE FOR ALL RESIDENTS TO AGE SUCCESSFULLY, LIVING THEIR BEST LIFE WITH MAXIMUM WELLNESS AND INDEPENDENCE THROUGH A BROAD RANGE OF SERVICES DELIVERED IN A SPIRIT OF CARING, INTEGRITY AND PROFESSIONALISM. 0 0 11754655 13653370 EDGEWATER HEALTH CARE AND REHABILITATION CENTER: THIS SKILLED NURSING FACILITY SERVES APPROXIMATELY 120 RESIDENTS IN ITS REHABILITATION THERAPY SUB-ACUTE AND SECURED DEMENTIA UNITS, AND LONG-TERM CARE NURSING FACILITY BEDS. 7822644 9086226 INDEPENDENT LIVING RETIREMENT UNITS: THE INDEPENDENT LIVING UNITS SERVE APPROXIMATELY 305 ELDERLY RESIDENTS BY PROVIDING ONE MEAL PER DAY, TRANSPORTATION TO MEDICAL APPOINTMENTS, SHOPPING, ACTIVITIES, WEEKLY HOUSEKEEPING, MAINTENANCE, BASIC CABLE TELEVISION AND SOME UTILITIES. 3458323 4016942 BRIDGEWATER ASSISTED LIVING FACILITY AND SUMMIT ASSISTED LIVING FACILITY: THE ASSISTED LIVING FACILITIES SERVE APPROXIMATELY 150 ELDERLY RESIDENTS WITH ASSISTANCE IN CERTAIN ACTIVITIES OF DAILY LIVING, INCLUDING A 24-HOUR NURSING STAFF; THREE MEALS DAILY; HOUSEKEEPING AND MAINTENANCE; TRANSPORTATION TO MEDICAL APPOINTMENTS AND SHOPPING ACTIVITIES; BASIC CABLE TELEVISION AND ALL UTILITIES. 549867 638687 GENERAL REVENUE AND EXPENSES 549867 638687 23585489 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 1 37 0 1 550 1 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 X ANDREW DUJON 3523830051 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 KEVIN W MCEWEN 2.00 X X 0 0 0 JOHN J COFFEY 2.00 X X 0 0 0 KIM Y STEWART 2.00 X X 0 0 0 THOMAS POPIESKI 2.00 X X 0 0 0 RICHARD A LEIGH 2.00 X 0 0 0 THOMAS E SUTTON 2.00 X 0 0 0 GUSTAV SCHEUNEMAN 2.00 X 0 0 0 GARY SKILTON 2.00 X 0 0 0 DALE LIND 39.00 1.00 X 234706 0 11850 ANDREW DUJON 39.00 1.00 X 150120 0 10716 JEANNE DE PRADA 40.00 X 141685 0 6189 GARY SCHULTZ 40.00 X 0 0 0 JACK WILBURN 40.00 X 112788 0 9326 639299 0 38081 4 0 1 0 SODEXHO INC & AFFILIATES P O BOX 905374 CHARLOTEE NC 282905374 CULINARY MANAGEMENT 2249522 QCR INC 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY MANAGEMENT 1802085 OMNICARE INC PO BOX 715268 COLUMBUS OH 432715268 PHARMACY SERVICES 566327 COMPASS BUILDING SERVICES LLC 303 N WOODLAND BLVD SUITE B DELAND FL 32720 CONSTRUCTION 277799 4 229 67372 62317 67601 SKILLED NURSING 623000 13653370 13653370 INDEPENDENT LIVING 623990 9086226 9086226 ASSISTED LIVING 623000 4016942 4016942 26756538 114207 114207 3500000 7147018 -3647018 -3647018 -3647018 OTHER REVENUE 623000 638687 638687 638687 23930015 27395225 0 -3532811 483875 483875 11113038 9517576 1595462 289631 211712 77919 845213 702005 143208 2317023 2317023 31235 31235 48000 48000 540051 186439 353612 171130 9044 162086 645666 485563 160103 1052971 887697 165274 88118 52165 35953 1558924 1558924 2298407 1937649 360758 2422717 2042448 380269 FOOD AND DIETARY USAGE 1503061 1462811 40250 MEDICAL SUPPLIES 973387 973387 REPAIRS AND MAINTAINANC 866936 780298 86638 SUPPLIES 245295 245295 369946 215453 154493 27864624 23585489 4279135 0 923584 1100493 4575 1889425 1500557 226463 128637 73293 67119 291234 242441 58544820 37115279 26883718 21429541 344625 381766 3557277 3186157 34194194 28036711 4424375 3078020 10380374 9656148 21450639 20523773 3018778 1201514 337116 311617 39611282 34771072 X -5417088 -6734361 -5417088 -6734361 34194194 28036711 X -3934609 -7167 2624503 X X 0 1 X 1 0 X 155753 53547 57780 126543 67601 461224 25237581 26235721 27485076 27544110 26756538 133259026 25393334 26289268 27542856 27670653 26824139 133720250 0 0 0 133720250 152649 55941 107188 105904 114207 535889 152649 55941 107188 105904 114207 535889 763655 644350 527664 585089 638687 3159445 26309638 26989559 28177708 28361646 27577033 137415584 0.97310 0.97030 0.00390 0.00440 X 1 8478 2825 11303 0 3711303 3711303 37168324 23120046 14048278 11659298 9475106 2184192 6005895 4520127 1485768 21429541 DEFERRED FINANCING COSTS, NET 414824 DEPOSITS 97583 DEPOSITS FOR PURCHASE OF WATERMAN COVE 93960 ASSETS LIMITED IN USE 2471209 OTHER ASSETS 6744 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 101837 3186157 OTHER LIABILITIES 151617 DEPOSITS 160000 311617 27341680 -7167 101837 94670 27247010 -3316995 -3316995 23930015 28658953 0 28658953 -794329 -794329 27864624 PART IV, LINE 1B: THE ORGANIZATION PROVIDES A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESIDENT, TO BE DISBURSED ONLY AS REQUESTED. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN NET INTEREST IN WATERMAN COMMUNITIES FOUNDATION 101,837. PART XI, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL STATEMENT DIFFERENCE RE: LOSS ON SALE OF COVE -2,522,666. EXPENSES NET WITH REVENUE -794,329. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NET WITH REVENUE -794,329. X X 0 1 0 0 0 1 0 0 0 DALE LIND 216977 0 17729 0 0 0 4873 0 6977 0 246556 0 0 0 ANDREW DUJON 141904 0 8216 0 0 0 3283 0 7433 0 160836 0 0 0 PART I, LINE 4B ALL MANAGING DIRECTORS ARE ELIGIBLE TO PARTICIPATE IN THE NON-QUALIFED DEFERRED COMPENSATION PLAN ESTABLISHED BY THE ORGANIZATION. ALL COMPENSATED INDIVIDUALS LISTED ON PART VII PARTICIPATE IN THE PLAN, AND NONE OF THESE INDIVIDUALS WITHDREW MONIES FROM THE PLAN DURING THE REPORTING YEAR. NO WITHDRAWALS CAN BE MADE FROM THE PLAN EXCEPT UNDER THE FOLLOWING CIRCUMSTANCES, (1) RETIREMENT - AGE 65, (2) TERMINATION OF EMPLOYMENT, (3) DEATH, (4) UNFORESEEABLE EMERGENCY, (5) DE MINIMIS EXCEPTION, OR (6) AGE 70 1/2 REQUIRED MINIMUM DISTRIBUTION. AFTER FIVE YEARS OF SERVICE, THE EARNED OWNERSHIP INTEREST (VESTING) OF THE EMPLOYER CONTRIBUTIONS BECOMES 100%. PART I, LINE 6 CEO, CFO AND COO BONUSES ARE BASED ON OPERATIONAL PROFIT, NOT INCLUDING EXTRAORDINARY ITEMS SUCH AS THE DISPOSITION OF THE COVE. A MOUNT DORA HEALTH FACILITIES AUTHORITY 621233DD4 2004-09-15 14015000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 5355000 14002184 28240 13693644 280300 2005 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART I (F) PURPOSE OF SERIES 2004 BONDS IN SEPTEMBER 2004, THE VILLAGE ISSUED MOUNT DORA HEALTH FACILITIES AUTHORITY REFUNDING REVENUE BONDS, SERIES 2004, IN THE AMOUNT OF $14,015,000, TO FINANCE THE REDEMPTION OF THE SERIES B PORTION OF THE SERIES 1996 BOND ISSUE AND TO PAY A PORTION OF THE COST OF ISSUING THE SERIES 2004 BONDS. THE 2004 BONDS INCLUDE SERIES A AND SERIES B BONDS ISSUED IN THE PRINCIPAL AMOUNTS OF $10,515,000 AND $3,500,000, RESPECTIVELY. SCHEDULE K, PART I (C) INFORMATION PERTAINING TO CUSIP OF 2004 SERIES BOND ISSUE THE SERIES 2004A BOND ISSUE CONSISTS OF THE FOLLOWING: CUSIP NO. 621233CW3, $20,000 3.75% TERM BONDS DUE AUGUST 15, 2006 CUSIP NO. 621233CX1, $670,000 3.75% TERM BONDS DUE AUGUST 15, 2007 CUSIP NO. 621233CY9, $690,000 4.25% TERM BONDS DUE AUGUST 15, 2008 CUSIP NO. 621233CZ6, $720,000 4.50% TERM BONDS DUE AUGUST 15, 2009 CUSIP NO. 621233DA0, $755,000 4.75% TERM BONDS DUE AUGUST 15, 2010 CUSIP NO. 621233DB8, $2,500,000 5.25% TERM BONDS DUE AUGUST 15, 2013 CUSIP NO. 621233DC6, $5,160,000 5.75% TERM BONDS DUE AUGUST 15, 2018 THE SERIES 2004B BOND ISSUE CONSISTS OF THE FOLLOWING: CUSIP NO. 621233DD4, $3,500,000 5.00% TERM BONDS DUE AUGUST 15, 2021 SCHEDULE K, PART II, LINE 3 ADDITIONAL INFORMATION RELATED TO BOND ISSUANCE THE TOTAL PROCEEDS FOR SERIES 2004 BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E), THE DIFFERENCES ARE AS FOLLOWS: AN UNDERWRITER'S DISCOUNT OF $157,475, A $116,410 TRANSFER FROM DEBT SERVICE FUND FOR THE REFUNDED BONDS AND ACCRUED INTEREST OF $28,249. DUJON ELDERCARE SERVICES ENTITY'S PRINCIPALS ARE RELATIVES OF THE CFO, ANDREW DUJON. 23525 CONSTRUCTION SERVICES 0 HILLCREST INSURANCE ENTITY IS OWNED BY BOARD MEMBER, KEVIN MCEWEN. 148162 INSURANCE 0 COMPASS BUILDING SERVICES ENTITY IS OWNED BY V.P. OF INFORMATION TECHNOLOGY, JACK WILBURN. 474227 CONSTRUCTION SERVICES 0 JEFF LIND FAMILY MEMBER OF CEO, DALE LIND. 72295 COMPENSATION FOR SERVICES TO FOUNDATION 0 X LEASEHOLD IMPROVEMENT CONTRIBUTIONS 34 62317 COST 0 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: PART I, COLUMN (B): THE LEASEHOLD IMPROVEMENTS REPRESENTS AMOUNTS PAID BY RESIDENTS WHO REQUEST UPGRADES TO THEIR UNITS WHEN FINALIZING THEIR LIFE-LEASE CONTRACT AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S CHIEF FINANCIAL OFFICER CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER. THE CEO DETERMINES THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES. THE BOARD AND CEO ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING CONSIDERED. THE BOARD UTILIZES COMPARABILITY SURVEYS PROVIDED BY THE ORGANIZATION'S CPA FIRM. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF WATERMAN VILLAGE FOUNDATION 101,837. TRANSFER OF WATERMAN COVE'S NET ASSETS UPON CLOSING 2,522,666. OVERSIGHT OF AUDIT FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WATERMAN COMMUNITIES FOUNDATION INC 250 BROOKFIELD AVENUE MOUNT DORA FL 32757 030386001 RAISES FUNDS FOR THE BENEFIT OF WATERMAN COMMUNITIES, INC. FL 501(C)(3) LINE 11A, I N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0