2014-11-07T15:23:18-06:00 2013-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2013-01-01 200670083 CEDARBROOK VILLAGE INCORPORATED CEDA 3157973114 2050 TILDEN AVE NEW HARTFORD NY 134133630 CHRISTA SERAFIN CEO 3157973114 2014-09-16 1 JOSEPH J SCHLEGEL P00301329 3154463600 2013 2015-11-30 17:44:51Z CHRISTA SERAFIN 2050 TILDEN AVE NEW HARTFORD NY 134133630 1964512 0 X WWW.SITRIN.COM X 2004 NY SENIOR ENRICHED HOUSING AND ASSISTED LIVING PROGRAM. 7 6 70 0 0 0 0 0 1833633 1930112 817 5541 25182 18136 1859632 1953789 0 0 0 0 903476 915641 0 0 0 912417 952446 1815893 1868087 43739 85702 8225170 8046079 4321132 3935898 3904038 4110181 CEDARBROOK IS A LICENSED ASSISTED LIVING PROVIDER REGULATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. CEDARBROOK IS AFFILIATED WITH SITRIN HEALTH CARE CENTER. 0 0 1707205 1953025 CEDARBROOK PROVIDES VARIOUS LEVELS OF CARE TO INDIVIDUALS 62 YEARS OF AGE AND OLDER SO THAT THEY MAY LIVE INDEPENDENTLY WITH SUPPORT SERVICES AVAILABLE AS THEIR NEEDS CHANGE.IN 2013, CEDARBROOK'S TOTAL RESIDENT DAYS WERE 19,385 WITH A TOTAL OF 74 SENIORS SERVED. 1707205 1 0 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 70 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X CHRISTA SERAFIN 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 SHERRY GOLDSTONE DIRECTOR 0.50 3.00 X 0 0 0 MARSHA SILVERMAN SECRETARY 2.00 3.50 X X 0 0 0 EDWARD KOWALSKY DIRECTOR 0.50 6.50 X 0 0 0 MICHAEL COMINSKY TREASURER 2.00 7.00 X X 0 0 0 DR SUSAN BLATT VICE CHAIRPERSON 2.00 19.00 X X 0 60000 0 NEIL COHEN DIRECTOR 0.50 1.50 X 0 0 0 MICHAEL SILVERMAN CHAIRMAN 2.00 9.00 X X 0 0 0 RICHARD WILSON CEO/VP OF STRATEGIC PLANNING 1.00 37.50 X 0 473118 5520 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER/CFO 1.00 37.50 X 0 171795 13800 0 704913 19320 0 0 1 0 0 RESIDENT SERVICES 623311 1907658 1907658 GUEST MEALS 623311 7990 7990 APPLICATION REVENUE 623311 7500 7500 GUEST ROOM REVENUE 623311 5314 5314 GARAGE RENTAL 623311 1650 1650 1930112 764 764 15500 10723 4777 4777 4777 CABLE REVENUE 623311 15405 15405 FORFEITED SECURITY DEP 623311 1304 1304 MISCELLANEOUS 623311 144 144 1283 1283 18136 1953789 1953025 0 764 761111 642061 119050 9428 6688 2740 87609 72153 15456 57493 48922 8571 72441 72441 3464 3464 8732 8732 7743 7743 2278 2278 9211 9211 265697 265697 8327 6703 1624 394311 394311 FOOD/BEVERAGE EXPENSE 124806 124806 REPAIRS & MAINTENANCE E 16567 16567 HOUSEKEEPING & LAUNDRY 15937 15937 DURABLE/DISPOSABLE DIET 8482 8482 14450 12019 2431 1868087 1707205 160882 0 177871 315599 423043 357272 63841 165734 148911 137638 7005 4554 7992 2333 8865242 1916014 7266619 6949228 129888 113721 8225170 8046079 107470 85309 2830000 2755000 1383662 1095589 4321132 3935898 X 3904038 4110181 3904038 4110181 8225170 8046079 X 85702 120441 X X 0 1 X 1 0 X 225960 50000 150 276110 903112 1625228 1796604 1833633 1930112 8088689 1129072 1675228 1796754 1833633 1930112 8364799 0 0 0 8364799 114 61 638 994 764 2571 114 61 638 994 764 2571 8484 23350 22815 25182 18136 97967 1137670 1698639 1820207 1859809 1949012 8465337 0.98810 0.98750 0.00030 0.00030 X 12660 12660 8299789 1640246 6659543 552793 275768 277025 6949228 CASH HELD IN TRUST FOR RESIDENTS 8261 SECURITY DEPOSITS FROM RESIDENTS 118455 INTEREST RATE SWAP LIABILITY 261462 NOTE PAYABLE - CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 570000 INSURANCE CLAIMS LIABILITY 137411 1095589 X 1953789 0 1953789 0 1953789 1868087 0 1868087 0 1868087 PART X, LINE 2: CEDARBROOK IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2009 THROUGH 2013. X 1 1 X X 0 0 0 0 0 0 0 0 0 RICHARD WILSON CEO/VP OF STRATEGIC PLANNING 0 441118 0 32000 0 0 0 0 0 5520 0 478638 0 0 CHRISTA SERAFIN CHIEF EXECUTIVE OFFICER/CFO 0 171795 0 0 0 0 0 0 0 13800 0 185595 0 0 A ONEIDA COUNTY INDUSTRIAL DEVELOPMENT AGENCY 090210781 682465CD9 2007-06-28 3000000 TO CONSTRUCT ENRICHED HOUSING ASSISTED LIVING APARTMENTS 0 0 0 A 3105333 169177 93146 23031 2819979 2009 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 1 FIRST NIAGARA BANK 10.000000000000 0 0 0 0 0 A 0 PART I LINE A, PART II LINE 3 THE DIFFERENCE BETWEEN PART I'S LISTED ISSUE PRICE OF $3,000,000 AND PART II'S, LINE 3, TOTAL PROCEEDS OF ISSUE, IS THE RESULT OF INVESTMENT EARNINGS ON THE PROCEEDS DURING THE CONSTRUCTION PHASE OF THE PROJECT. ALL EARNINGS WERE SPENT ON THE PROJECT AS SHOWN IN PART II, LINES 5-12. FORM 990, PART VI, SECTION A, LINE 6 THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. IS THE SOLE MEMBER OF CEDARBROOK VILLAGE INCORPORATED. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. APPOINTS THE BOARD OF DIRECTORS OF CEDARBROOK VILLAGE INCORPORATED. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD MEMBERS REVIEWED THE 990 AT THE SEPTEMBER 2014 BOARD MEETING PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO UPDATE AND RE-SIGN THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS COLLECTIVELY REVIEWS AND APPROVES THE CEO'S SALARY AND BENEFITS. COMPARATIVE DATA FROM OTHER LIKE ORGANIZATIONS IS USED. THIS MEETING IS DOCUMENTED THROUGH EXECUTIVE SESSION MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 ALL OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC. COPIES WILL BE PROVIDED UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 120,441. FORM 990, PAGE 7, PART VII THE FOLLOWING OFFICER IS ALSO AN OFFICER OF RELATED ENTITY, CHARLES T. SITRIN HEALTH CARE CENTER, INC. -CHRISTA SERAFIN CHARLES T SITRIN HEALTH CARE CENTER INC 2050 TILDEN AVE NEW HARTFORD NY 13413 223100745 SKILLED NURSING/OUTPATIENT REHAB FACILITY NY 501(C)3 LINE 9 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 2050 TILDEN AVE NEW HARTFORD NY 13413 150543936 SOLE MEMBER OF OTHER CORPORATIONS NY 501(C)3 LINE 7 N/A 0 GEORGIAN COURT ESTATES SENIOR HOUSING CORP 2050 TILDEN AVE NEW HARTFORD NY 13413 204288247 SENIOR HOUSING NY 501(C)3 LINE 9 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 GAN KAVOD INC PO BOX 634 NEW HARTFORD NY 13413 223032483 INTERMEDIATE CARE FACILITY & INDIVIDUALIZED RESIDENTIAL ALTERNATIVE NY 501(C)3 LINE 9 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 SITRIN CHILD DAY CARE FACILITY INC 3 KAVOD ROAD NEW HARTFORD NY 13413 161484534 CHILD DAY CARE CENTER NY 501(C)3 LINE 9 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 SITRIN FOUNDATION INC 2050 TILDEN AVE NEW HARTFORD NY 13413 300098393 FOUNDATION NY 501(C)3 LINE 11A, I CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0