LAKE PRINCE CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LAKE PRINCE CENTER INC (EIN 56-2151716)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-02-15
IRS object ID
201440489349300679
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-15T09:28:54-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560571159EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BERNARD ROBINSON & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 19608AddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code274199608ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562151716EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAKE PRINCE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone8284658006Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 LEONARD AVENUEAddressLine1
CityNEWTONCity
StateNCState
ZIP Code28658ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLEE SYRIAName
TitlePRESIDENT/CEO OF RELATED ORGTitle
Phone8284658006Phone
Date Signed2014-02-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLORY H KELLEYName
PTINP00431638PTIN
Phone3362944494Phone
Date Prepared2014-02-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJUDY RAYMONDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 ANNA GOODE WAYAddressLine1
CitySUFFOLKCity
StateVAState
ZIP Code23434ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10720211GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LAKEPRINCEWOODS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionCONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees157TotalNbrEmployees
Total Nbr Volunteers64TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year28254ContributionsGrantsPriorYear
Contributions Grants Current Year53861ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10553100ProgramServiceRevenuePriorYear
Program Service Revenue CY10527382ProgramServiceRevenueCY
Investment Income Prior Year8InvestmentIncomePriorYear
Investment Income Current Year14InvestmentIncomeCurrentYear
Other Revenue Prior Year88316OtherRevenuePriorYear
Other Revenue Current Year138954OtherRevenueCurrentYear
Total Revenue Prior Year10669678TotalRevenuePriorYear
Total Revenue Current Year10720211TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3769701SalariesEtcPriorYear
Salaries Etc Current Year3840998SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7146242OtherExpensePriorYear
Other Expenses Current Year7230377OtherExpensesCurrentYear
Total Expenses Prior Year10915943TotalExpensesPriorYear
Total Expenses Current Year11071375TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-246265RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-351164RevenuesLessExpensesCY
Total Assets BOY31064779TotalAssetsBOY
Total Assets EOY30018814TotalAssetsEOY
Total Liabilities BOY44387156TotalLiabilitiesBOY
Total Liabilities EOY43892228TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13322377NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-13873414NetAssetsOrFundBalancesEOY
Mission DescriptionCONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9643705Expense
Revenue10625258Revenue
DescriptionLONG TERM CARE FOR THE ELDERLY CONSISTING OF NURSING, MEALS, LAUNDRY, RECREATION, AND OTHER SERVICES FOR RESIDENTS.Description
Total Program Service Expense9643705TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees157NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GARY SHULLBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8284658006TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 LEONARD AVENUEAddressLine1
CityNEWTONCity
StateNCState
ZIP Code28658ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedFormerFormer
JEFFREY GILLIAM
CHAIR1.00XX000
J RAY DEAL
VICE CHAIR1.00XX000
MARK L BURNS
SECRETARY1.00XX000
ANTHONY J BRANCH
TREASURER1.00XX000
LINDA J MORRIS
MEMBER-AT-LARGE1.00XX000
GREGORY M ALCORN
PAST BOARD CHAIR1.00XX000
JIM BUCHANAN
BOARD MEMBER1.00X000
DANIEL F DAGENHART
BOARD MEMBER1.00X000
NAOMI Y EAST
BOARD MEMBER1.00X000
WALTER HOFFMAN
BOARD MEMBER1.00X000
RALPH L HOWELL JR
BOARD MEMBER1.00X000
PARKER D HOWELL III
BOARD MEMBER1.00X000
KATHIE JOHNSON
BOARD MEMBER1.00X000
JOAN MARSH
BOARD MEMBER1.00X000
KELSEY MCCLEAVE
BOARD MEMBER1.00X000
RANDY ORWIG
BOARD MEMBER1.00X000
MARK W SIGMON
BOARD MEMBER1.00X000
DARRELL SLUDER
BOARD MEMBER1.00X000
BRAD THIE
BOARD MEMBER1.00X000
JUDY RAYMOND
EXECUTIVE DIRECTOR40.00X131372015568
LEE B SYRIA
PRESIDENT/CEO OF RELATED ORG.0.00X01828342751840.00
GARY W SHULL
VP-FINANCE OF RELATED ORG.0.00X01652862585040.00
DOUGLAS FLEEGLE
FORMER PRESIDENT/CEO OF RELATED ORG.0.000211695652540.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org131372TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs559815TotalReportableCompFrmRltdOrgs
Total Other Compensation75461TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SELECT REHABILITATION INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1550 FRONTAGE ROAD SUITE 2415AddressLine1
CityNORTHFIELDCity
StateILState
ZIP Code60093ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPIESDescriptionOfServices
Compensation321278Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations53861RelatedOrganizations
Total Contributions53861TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column10527382TotalRevenueColumn
Related Or Exempt Function Income10527382RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10527382TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14TotalRevenueColumn
Exclusion$14ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4400Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4400Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4400TotalRevenueColumn
Exclusion$4,400ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCATERING/MEAL SERVICESDescription
Business Code722210BusinessCode
Total Revenue Column36678TotalRevenueColumn
Exclusion$36,678ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column97876TotalRevenueColumn
Related Or Exempt Function Income97876RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue134554TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10720211TotalRevenueColumn
Related Or Exempt Function Income10625258RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$41,092ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total131435Total
Management And General131435ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3005361Total
Program Services2650905ProgramServices
Management And General354456ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total457386Total
Program Services457386ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total246816Total
Program Services246816ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total661070Total
Program Services661070ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total65052Total
Management And General65052ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51637Total
Program Services11435ProgramServices
Management And General40202ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total37397Total
Management And General37397ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total787318Total
Program Services443644ProgramServices
Management And General343674ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total23064Total
Program Services16397ProgramServices
Management And General6667ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5615Total
Management And General5615ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1311008Total
Program Services1311008ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1940418Total
Program Services1940418ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total191788Total
Management And General191788ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1131944108620045744
CONTRACTED SERVICES442798442798
EQUIPMENT/RENTAL MAINTE367725246499121226
BOND AMORTIZATION7863878638

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total134905Total
Program Services50491ProgramServices
Management And General84414ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11071375Total
Program Services9643705ProgramServices
Management And General1427670ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12754BOY
EOY1065EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY279182BOY
EOY150321EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY80594BOY
EOY264747EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY14655BOY
EOY13315EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18745BOY
EOY18528EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47770220LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24643274LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23856185BOY
EOY23126946EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2392835BOY
EOY2392817EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4409829BOY
EOY4051075EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY31064779BOY
EOY30018814EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY705568BOY
EOY797139EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY18667918BOY
EOY14769849EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY24560975BOY
EOY23779910EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY452695BOY
EOY4545330EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44387156BOY
EOY43892228EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-13322377BOY
EOY-13873414EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13322377BOY
EOY-13873414EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31064779BOY
EOY30018814EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-351164ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-199873ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year28254CurrentTaxYearMinus1Year
Current Tax Year53861CurrentTaxYear
Total82115Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10138970CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10274673CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10006418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10553100CurrentTaxYearMinus1Year
Current Tax Year10527382CurrentTaxYear
Total51500543Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10138970CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10274673CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10006418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10581354CurrentTaxYearMinus1Year
Current Tax Year10581243CurrentTaxYear
Total51582658Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50951582658PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5156CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5122CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4808CurrentTaxYearMinus1Year
Current Tax Year4414CurrentTaxYear
Total68014Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5156CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5122CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4808CurrentTaxYearMinus1Year
Current Tax Year4414CurrentTaxYear
Total68014Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years102038CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years110549CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years233744CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year111770CurrentTaxYearMinus1Year
Current Tax Year134554CurrentTaxYear
Total692655Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10289522CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10390378CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10245284CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10697932CurrentTaxYearMinus1Year
Current Tax Year10720211CurrentTaxYear
Total52343327Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98550PublicSupportPercentage509
Prior Year Support Percentage0.98350PriorYearSupportPercentage
Investment Income Percentage0.00130InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00400PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1725246OtherCostOrOtherBasis
Book Value1725246BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis41110323OtherCostOrOtherBasis
Depreciation20990805Depreciation
Book Value20119518BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3703609OtherCostOrOtherBasis
Depreciation2762968Depreciation
Book Value940641BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1231042OtherCostOrOtherBasis
Depreciation889501Depreciation
Book Value341541BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23126946TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED COSTS, NET1150821
DUE FROM AFFILIATES2900254
FieldValueIRS element (for citing)
Total Book Value Other Assets4051075TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
LONG-TERM REFUNDS PAYABLE$4,176,629
ADVANCE DEPOSITS$230,267
RESIDENT ESCROWS$137,190
RESIDENTS PERSONAL FUNDS LIABILITY$1,244
FieldValueIRS element (for citing)
Total Of Amounts4545330TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationIT IS THE ORGANIZATION'S POLICY TO EVALUATE ALL TAX POSITIONS TO IDENTIFY ANY THAT MAY BE CONSIDERED UNCERTAIN. ALL IDENTIFIED MATERIAL TAX POSITIONS ARE ASSESSED AND MEASURED BY A "MORE-LIKELY-THAN-NOT" THRESHOLD TO DETERMINE IF THE TAX POSITION IS UNCERTAIN AND WHAT, IF ANY, THE EFFECT OF THE UNCERTAIN TAX POSITION MAY HAVE ON THE FINANCIAL STATEMENTS. NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED FOR 2013 AND 2012.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LEE B SYRIA
PRESIDENT/CEO OF RELATED ORG.0182834000002613601382021035200
GARY W SHULL
VP-FINANCE OF RELATED ORG.0165286000002446801382019113600
DOUGLAS FLEEGLE
FORMER PRESIDENT/CEO OF RELATED ORG.02116950000058630662021822000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SUFFOLKBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN541131047IssuerEIN
CUSIP Number86481MAM0CUSIPNumber
Date Issued2006-08-30DateIssued
Issue Price28893246IssuePrice
Description Of PurposeTO REFUND PRIOR ISSUE OF BONDS AND TO FINANCE EXPANSION PROJECTS.DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired4995000AmountRetired
Total Proceeds28893246TotalProceeds
Refunding Escrow26097179RefundingEscrow
Issuance Costs From Proceeds577865IssuanceCostsFromProceeds
Capital Expenditures2218202CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE ORGANIZATION'S BOARD MEMBERS BEFORE BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS, AND EMPLOYEES OF THE ORGANIZATION HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO EVALUATE COMPLIANCE WITH CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS DETERMINED BY THE BOARD'S EXECUTIVE COMMITTEE. THE PROCESS FOR DETERMINING COMPENSATION INCLUDES SALARY SURVEYS OF SIMILAR ORGANIZATIONS ACROSS THE COUNTRY AS WELL AS THE USE OF COMPARABILITY DATA. COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS SUGGESTED BY THE CEO AND APPROVED BY THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE KEPT ON FILE AT THE ADMINISTRATION OFFICE AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 8:DURING THE YEAR ENDED SEPTEMBER 30, 2013, LAKE PRINCE CENTER ADOPTED ACCOUNTING STANDARDS UPDATE 2012-1, CONTINUING CARE RETIREMENT COMMUNITIES - REFUNDABLE ADVANCE FEES. THE PURPOSE OF THIS UPDATE IS TO CLARIFY THE ACCOUNTING AND REPORTING TREATMENT OF ADVANCED FEES WHERE THE CONTRACT STIPULATES THAT A PORTION OF THE ADVANCED FEE IS REFUNDABLE TO THE RESIDENT. UNDER THIS CHANGE IN ACCOUNTING PRINCIPLE, THE ORGANIZATION'S SEPTEMBER 30, 2012 FINANCIAL POSTION INCREASED REFUNDS PAYABLE LIABILITY AND DECREASED DEFERRED REVENUES, NET ASSETS, AND AMORTIZATION OF ADVANCE FEES RESULTING IN A PRIOR PERIOD ADJUSTMENT OF $-199,873.PRIOR PERIOD ADJUSTMENT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UNITED CHURCH HOMES AND SERVICES
100 LEONARD AVENUENEWTONNC28658566056582CONTINUING CARE RETIREMENT COMMUNITYNC501(C)(3)LINE 9N/A0
UNITED CHURCH HOMES AND SERVICES FOUNDATION
100 LEONARD AVENUENEWTONNC28658562243082FUND AND SUPPORT THE OPERATIONS AND PROGRAMS OF UCHSNC501(C)(3)LINE 11A, I1UNITED CHURCH HOMES AND SERVICES
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
UNITED CHURCH HOMES AND SERVICES
D2898332
UNITED CHURCH HOMES AND SERVICES
M661070
UNITED CHURCH HOMES AND SERVICES
O3136796

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