2014-10-27T11:36:01-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 101 NORTH TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2013-01-01 521368412 CULPEPER BAPTIST RETIREMENT COMMUNITY INC CULP 8045219206 1900 LAUDERDALE DRIVE RICHMOND VA 23238 JOSEPH KELLEY CFO 8045219206 2014-10-22 1 JOHN NORMAN P01506766 7049985200 2013 2015-11-30 17:44:51Z RANDALL ROBINSON 1900 LAUDERDALE DRIVE RICHMOND VA 23238 6680612 0 X WWW.VBH.ORG X 1948 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 15 15 198 34 0 0 1366569 315550 6289654 6296546 62685 68049 -5232 0 7713676 6680145 271810 303293 0 0 4350228 4706312 0 0 0 2779787 3095534 7401825 8105139 311851 -1424994 6294932 5904661 11720229 12676775 -5425297 -6772114 TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY, SOME OF WHOM CANNOT AFFORD TO PAY THE FULL COST OF THEIR CARE. 0 0 7444659 303293 6296546 WE WERE ABLE TO PROVIDE BOTH RESIDENTIAL AND HEALTH CARE SERVICES TO OUR RESIDENTS, SOME OF WHOM ARE UNABLE TO COVER THE FULL COST OF THEIR CARE. WE PROVIDED $303,293 IN SUBSIDIES AND INDIGENCE ALLOWANCES TO OUR RESIDENTS IN 2013, PERTAINING TO 19 RESIDENTS. 7444659 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 33 0 1 198 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 VA X X JOSEPH KELLEY CFO 8045219206 1900 LAUDERDALE DRIVE RICHMOND VA 23238 MR CRAIG HOPSON TRUSTEE 1.00 X 0 0 0 MR SAMUAL G OAKLEY II TRUSTEE 1.00 X 0 0 0 REV LAWRENCE A DAVIES TRUSTEE 1.00 X 0 0 0 REV C NELSON HARRIS TRUSTEE 1.00 X 0 0 0 MR LEBRON J HOLDEN TRUSTEE 1.00 X 0 0 0 MR MICHAEL E KECK TRUSTEE 1.00 X 0 0 0 MR JOHN T KING TRUSTEE 1.00 X 0 0 0 MR MAURICE C LAW TRUSTEE 1.00 X 0 0 0 MR MICHAEL M SMITH TRUSTEE 1.00 X 0 0 0 MR NED STEPHENSON TRUSTEE 1.00 X 0 0 0 MR WILLIAM F TRIMBLE JR TRUSTEE 1.00 X 0 0 0 MR CHARLES W TYSINGER TRUSTEE 1.00 X 0 0 0 MR JOSEPH M TEEFEY TRUSTEE 1.00 X 0 0 0 MR OLIVER L WAY TRUSTEE 1.00 X 0 0 0 MR THOMAS W LOVELACE TRUSTEE 1.00 X 0 0 0 DR RANDALL ROBINSON PRESIDENT & CEO 1.00 40.00 X 0 281743 5067 MS MONICA HILLERY SECRETARY 1.00 40.00 X 0 97547 1859 MR KENT M PHILLIPS EVP & ACTING COO 1.00 40.00 X 0 199049 5989 MR ROBERT BUSWELL ASST. TREASURER 1.00 40.00 X 0 102270 9312 MR JOHN P ROBINSON VP 1.00 40.00 X 0 232284 7494 MR JOSEPH KELLEY CFO 1.00 40.00 X 0 118271 8760 MR ROBERT S MCELMURRAY EXECUTIVE DIRECTOR 40.00 X 151728 0 9934 151728 1031164 48415 1 0 1 0 EL SMITH BUILDING CONTRACTOR 13434 CHESTERFIELD LANE CULPEPER VA 22701 BUILDING CONTRACTOR 417731 SYSCO FOOD SERVICES OF VIRGINIA LLC PO BOX 2002 HARRISONBURG VA 22801 FOOD PURCHASED 410430 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 334544 FLOOR FASHIONS OF VIRGINIA INC 2422 RICHMOND RD CHARLOTTESVILLE VA 22911 BUILDING CONTRACTOR 122269 RAPPAHANNOCK ELECTRIC COOPERATIVE PO BOX 7388 FREDERICKSBURG VA 22404 ELECTRIC UTILITIES 103486 5 289930 25620 315550 RESIDENTIAL SERVICES 623000 3367459 3367459 HEALTH CARE SERVICES 623000 2787261 2787261 141826 141826 6296546 68516 68516 467 -467 -467 -467 6680145 6296546 0 68049 303293 303293 161662 161662 3909686 3665419 244267 50154 44848 5306 291237 260424 30813 293573 262513 31060 224 224 659045 659045 54644 54644 85082 85082 8090 8090 883244 883244 30704 30704 122423 122423 322564 322564 DIETARY SUPPLIES 473783 473783 PROGRAM SUPPLIES 344694 344694 EQUIPMENT 63087 63087 DUES AND SUBSCRIPTIONS 22070 22070 25880 8618 17262 8105139 7444659 660480 0 345867 1258813 863613 243178 233898 334484 158400 20131 7018 12742493 10261565 2027993 2480928 745592 823769 1318874 1337035 6294932 5904661 744534 761841 2286654 2223538 8689041 9691396 11720229 12676775 X -7537652 -8888755 1398016 1324122 714339 792519 -5425297 -6772114 6294932 5904661 X -1424994 78177 X X 0 1 X 1 0 X 384480 389637 393911 1366569 315550 2850147 6306092 6597967 6660468 6289654 6296546 32150727 6690572 6987604 7054379 7656223 6612096 35000874 0 139332 297910 147374 355473 881920 1822009 139332 297910 147374 355473 881920 1822009 33178865 33068 25116 76531 62156 68516 265387 33068 25116 76531 62156 68516 265387 9566 16747 28407 -5232 49488 6733206 7029467 7159317 7713147 6680612 35315749 0.93950 0.95770 0.00750 0.00560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 224 224 0 PART II-B, LINE 1: A PORTION OF THE ORGANIZATION'S ASSOCIATION FEES IS ALLOCATED TO LOBBYING. 1398016 100 72263 1325853 1372388 27980 2325 1398016 1320681 101160 49453 1372388 1320681 1.00000 0 1 1 43647 43647 7630317 6102932 1527385 4209530 3454343 755187 858999 704290 154709 2480928 INVESTMENTS 792519 F 31250 F 823769 DUE FROM AFFILIATES 1291930 DEFERRED FINANCING COSTS 45105 1337035 DEFERRED ENTRANCE FEES 3254616 DUE TO AFFILIATES 6436780 9691396 X PART V, LINE 4: THE ENDOWMENTS ARE HELD BY VIRGINIA BAPTIST HOMES FOUNDATION, INC. AND TO BE USED TOWARDS THE CONTINUATION OF RESIDENT SERVICES. PART X, LINE 2: SHOULD THE TAX-EXEMPT STATUS OF THE ORGANIZATION BE CHALLENGED IN THE FUTURE, THE 2011, 2012, AND 2013 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION ADOPTED ACCOUNTING GUIDANCE REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. 1 BENEVOLENT ASSISTANCE 19 303293 PART I, LINE 2: THE ORGANIZATION GRANTS ASSISTANCE TOWARDS MONTHLY FEES THROUGH A FINANCIAL AID APPLICATION PROCESS. GRANTS ARE AWARDED IN THE FORM OF A REDUCTION OF RESIDENT MONTHLY FEES. X X 0 0 0 0 0 0 0 0 0 DR RANDALL ROBINSON PRESIDENT & CEO 0 231139 0 0 0 50604 0 5067 0 0 0 286810 0 0 MR KENT M PHILLIPS EVP & ACTING COO 0 193895 0 0 0 5154 0 3989 0 2000 0 205038 0 0 MR JOHN P ROBINSON VP 0 114160 0 111251 0 6873 0 4291 0 3203 0 239778 0 0 MR ROBERT S MCELMURRAY EXECUTIVE DIRECTOR 129168 0 0 0 22560 0 2877 0 7057 0 161662 0 0 0 A PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AA0 2003-01-24 2493128 REFUND OUTSTANDING SERIES 2000 BONDS A 1 0 1 B PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AQ5 2006-05-24 2214021 DEFEASE AND REPLACE PORTION OF OUTSTANDING BONDS 1 0 1 A 2391464 2493128 2493128 1 0 1 1 B 96229 2214021 2170717 43034 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PENINSULA PORTS AUTHORITY OF VIRGINIA DATE THE REBATE COMPUTATION WAS PERFORMED: 03/27/2013 ISSUER NAME: PENINSULA PORTS AUTHORITY OF VIRGINIA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/24/2011 FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 IS PREPARED BY THE ORGANIZATION'S EXTERNAL FINANCIAL AUDIT FIRM FROM INFORMATION THE ORGANIZATION FURNISHED, AND REVIEWED BY THE ORGANIZATION'S CHIEF FINANCIAL EXECUTIVE AND CONTROLLER PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES AND THE VIRGINIA BAPTIST HOMES, INC. COMPLIANCE OFFICER MONITOR AND ENFORCE THE CONFLICT OF INTEREST POLICY, IN ACCORDANCE WITH THE VBH CORPORATE COMPLIANCE PROGRAM. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS AND KEY EMPLOYEES IS SET BY THE BOARD OF TRUSTEES AFTER DELIBERATION, INCLUDING REVIEW OF THE "CHIEF EXECUTIVE OF MULTI-FACILITY ORGANIZATIONS COMPENSATION REPORT" AND OTHER SENIOR LIVING INDUSTRY COMPARABILITY REPORTS. THIS PROCESS WAS MOST RECENTLY CONDUCTED IN 2013. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 990 AND ASSOCIATED MATERIALS ARE MADE AVAILABLE AT, OR BY REQUEST TO, EITHER THE BUSINESS' LOCATION OR THE HEADQUARTERS OF VIRGINIA BAPTIST HOMES, INC. THE FORM 990 MAY ALSO BE VIEWED ON CERTAIN THIRD PARTY WEB SITES (E.G., GUIDESTAR). FORM 990, PART XI, LINE 9: CHANGE IN PV OF PERPETUAL TRUSTS 78,177. NET ASSETS RELEASED FROM RESTRICTIONS TO UNRESTRICTED 84,538. NET ASSETS RELEASED FROM TEMP RESTRICTED -84,538. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. VIRGINIA BAPTIST HOMES INC PO BOX 191 CULPEPER VA 22701 540534405 SENIOR LIVING MANAGEMENT VA 501(C)(3) LINE 11A, I N/A 0 VIRGINIA BAPTIST HOMES FOUNDATION INC PO BOX 191 CULPEPER VA 22701 521373103 FUND RAISING AND DEVELOPMENT VA 501(C)(3) LINE 11D, III-O N/A 0 NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368408 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 9 N/A 0 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368410 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 9 N/A 0 THE GLEBE INC PO BOX 191 CULPEPER VA 22701 541917966 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 9 N/A 0 0 0 1 1 1 0 0 0 0 0 1 0 1 0 0 1 0 0 0 VIRGINIA BAPTIST HOMES INC C 205705 OFFICER APPROVAL VIRGINIA BAPTIST HOMES INC P 652420 INTERCOMPANY TRANSFER VIRGINIA BAPTIST HOMES FOUNDATION INC C 103283 INTERCOMPANY TRANSFER