2014-02-15T09:28:54-06:00 2013-09-30 560571159 BERNARD ROBINSON & COMPANY LLP PO BOX 19608 GREENSBORO NC 274199608 990 2012-10-01 562151716 LAKE PRINCE CENTER LAKE 8284658006 100 LEONARD AVENUE NEWTON NC 28658 LEE SYRIA 8284658006 2014-02-10 1 LORY H KELLEY P00431638 3362944494 2014-02-10 2012 2015-11-30 17:44:51Z JUDY RAYMOND 100 ANNA GOODE WAY SUFFOLK VA 23434 10720211 0 X WWW.LAKEPRINCEWOODS.ORG X 1999 NC CONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA. 19 19 157 64 0 0 28254 53861 10553100 10527382 8 14 88316 138954 10669678 10720211 0 0 0 0 3769701 3840998 0 0 0 7146242 7230377 10915943 11071375 -246265 -351164 31064779 30018814 44387156 43892228 -13322377 -13873414 CONTINUING CARE RETIREMENT COMMUNITY IN SUFFOLK, VA. 0 0 9643705 10625258 LONG TERM CARE FOR THE ELDERLY CONSISTING OF NURSING, MEALS, LAUNDRY, RECREATION, AND OTHER SERVICES FOR RESIDENTS. 9643705 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 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 23 0 1 157 1 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X GARY SHULL 8284658006 100 LEONARD AVENUE NEWTON NC 28658 JEFFREY GILLIAM 1.00 X X 0 0 0 J RAY DEAL 1.00 X X 0 0 0 MARK L BURNS 1.00 X X 0 0 0 ANTHONY J BRANCH 1.00 X X 0 0 0 LINDA J MORRIS 1.00 X X 0 0 0 GREGORY M ALCORN 1.00 X X 0 0 0 JIM BUCHANAN 1.00 X 0 0 0 DANIEL F DAGENHART 1.00 X 0 0 0 NAOMI Y EAST 1.00 X 0 0 0 WALTER HOFFMAN 1.00 X 0 0 0 RALPH L HOWELL JR 1.00 X 0 0 0 PARKER D HOWELL III 1.00 X 0 0 0 KATHIE JOHNSON 1.00 X 0 0 0 JOAN MARSH 1.00 X 0 0 0 KELSEY MCCLEAVE 1.00 X 0 0 0 RANDY ORWIG 1.00 X 0 0 0 MARK W SIGMON 1.00 X 0 0 0 DARRELL SLUDER 1.00 X 0 0 0 BRAD THIE 1.00 X 0 0 0 JUDY RAYMOND 40.00 X 131372 0 15568 LEE B SYRIA 0.00 40.00 X 0 182834 27518 GARY W SHULL 0.00 40.00 X 0 165286 25850 DOUGLAS FLEEGLE 0.00 40.00 X 0 211695 6525 131372 559815 75461 1 1 1 0 SELECT REHABILITATION INC 550 FRONTAGE ROAD SUITE 2415 NORTHFIELD IL 60093 THERAPIES 321278 1 53861 53861 RESIDENT SERVICES 623000 10527382 10527382 10527382 14 14 4400 0 4400 4400 4400 CATERING/MEAL SERVICES 722210 36678 36678 97876 97876 134554 10720211 10625258 0 41092 131435 131435 3005361 2650905 354456 457386 457386 246816 246816 661070 661070 65052 65052 51637 11435 40202 37397 37397 787318 443644 343674 23064 16397 6667 5615 5615 1311008 1311008 1940418 1940418 191788 191788 SUPPLIES 1131944 1086200 45744 CONTRACTED SERVICES 442798 442798 EQUIPMENT/RENTAL MAINTE 367725 246499 121226 BOND AMORTIZATION 78638 78638 134905 50491 84414 11071375 9643705 1427670 0 12754 1065 279182 150321 80594 264747 14655 13315 18745 18528 47770220 24643274 23856185 23126946 2392835 2392817 4409829 4051075 31064779 30018814 705568 797139 18667918 14769849 24560975 23779910 452695 4545330 44387156 43892228 X -13322377 -13873414 -13322377 -13873414 31064779 30018814 X -351164 -199873 0 X 0 1 X 1 0 X 28254 53861 82115 10138970 10274673 10006418 10553100 10527382 51500543 10138970 10274673 10006418 10581354 10581243 51582658 0 0 0 51582658 48514 5156 5122 4808 4414 68014 48514 5156 5122 4808 4414 68014 102038 110549 233744 111770 134554 692655 10289522 10390378 10245284 10697932 10720211 52343327 0.98550 0.98350 0.00130 0.00400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1725246 1725246 41110323 20990805 20119518 3703609 2762968 940641 1231042 889501 341541 23126946 DEFERRED COSTS, NET 1150821 DUE FROM AFFILIATES 2900254 4051075 LONG-TERM REFUNDS PAYABLE 4176629 ADVANCE DEPOSITS 230267 RESIDENT ESCROWS 137190 RESIDENTS PERSONAL FUNDS LIABILITY 1244 4545330 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IT 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. X X X X 0 0 0 0 0 0 0 0 0 LEE B SYRIA 0 182834 0 0 0 0 0 26136 0 1382 0 210352 0 0 GARY W SHULL 0 165286 0 0 0 0 0 24468 0 1382 0 191136 0 0 DOUGLAS FLEEGLE 0 211695 0 0 0 0 0 5863 0 662 0 218220 0 0 A INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SUFFOLK 541131047 86481MAM0 2006-08-30 28893246 TO REFUND PRIOR ISSUE OF BONDS AND TO FINANCE EXPANSION PROJECTS. 0 0 0 A 4995000 28893246 26097179 577865 2218202 2007 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE ORGANIZATION'S BOARD MEMBERS BEFORE BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, 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 15 COMPENSATION 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 19 THE 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. PRIOR PERIOD ADJUSTMENT 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. UNITED CHURCH HOMES AND SERVICES 100 LEONARD AVENUE NEWTON NC 28658 566056582 CONTINUING CARE RETIREMENT COMMUNITY NC 501(C)(3) LINE 9 N/A 0 UNITED CHURCH HOMES AND SERVICES FOUNDATION 100 LEONARD AVENUE NEWTON NC 28658 562243082 FUND AND SUPPORT THE OPERATIONS AND PROGRAMS OF UCHS NC 501(C)(3) LINE 11A, I UNITED CHURCH HOMES AND SERVICES 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 UNITED CHURCH HOMES AND SERVICES D 2898332 UNITED CHURCH HOMES AND SERVICES M 661070 UNITED CHURCH HOMES AND SERVICES O 3136796