2013-08-14T08:53:11-05:00 2012-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2011-10-01 200158017 SEABURY MEMORY CARE CENTER INC SEAB 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 JOSEPH H WALTON 8602860243 2013-08-13 1 ELIZABETH SOLECKI P00235171 8605614000 2011 2016-02-24 21:20:13Z SEABURY MEADOWS JOSEPH H WALTON 200 SEABURY DRIVE BLOOMFIELD CT 060022650 3750507 0 X N/A X 2003 CT TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY. 8 8 0 15 0 0 101053 81246 3162350 3662842 9360 6419 0 0 3272763 3750507 0 0 0 0 0 0 0 0 0 3112933 3278517 3112933 3278517 159830 471990 3965137 4245541 2166142 1974556 1798995 2270985 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY WITH ALZHEIMER'S DISEASE. 0 0 3144700 3662842 TO PROVIDE HOUSING AND SUPPLEMENTAL ASSISTED LIVING SERVICES TO THE ELDERLY AFFLICTED WITH ALZHEIMER'S DISEASE. SEABURY MEMORY CARE CONSISTS OF 44 ASSISTED LIVING DEMENTIA BEDS AND 14 RESIDENTIAL CARE HOME BEDS. 3144700 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 0 1 1 0 0 X STEVEN YANOFSKY CHURCH HOME VP FIN 8602860243 200 SEABURY DR BLOOMFIELD CT 060020243 X DR H DAVID CROMBIE 0.30 X 0 0 0 WINIFRED GRANGER 0.30 X 0 0 0 DR LAURA HARCKHAM 0.30 X 0 0 0 DONALD F HARRIS JR 0.30 X 0 0 0 A RAYMOND MADORIN 0.30 X X 0 0 0 JOSEPH H WALTON 0.30 X X 0 0 0 RAYMOND J PAYNE 0.30 X X 0 0 0 REV BORDEN W PAINTER JR 0.30 X X 0 0 0 RICHARD HEATH 0.30 X 0 0 0 0 0 0 0 0 0 0 CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DR BLOOMFIELD CT 06002 CONTRACT STAFFING 2372913 1 81246 81246 ASSISTED LIVING SERV. 623000 3628288 3628288 OTHER RESIDENT SERV. 623000 34554 34554 3662842 6419 6419 3750507 3662842 0 6419 60 60 2200 2200 3972 3972 278961 185686 93275 514 514 98315 98315 161012 161012 24405 24405 CONTRACTED SERVICES 2372721 2372721 SUPPLIES 191834 187997 3837 EQUIP. RENTAL & MAINT. 94209 94209 REMOVAL SERVICES 12610 12610 37704 27664 10040 3278517 3144700 133817 0 970407 1514244 105562 95063 127242 33471 3912365 1324619 2744178 2587746 17748 15017 3965137 4245541 249199 310282 1916943 1664274 2166142 1974556 X 1798995 2270985 1798995 2270985 3965137 4245541 471990 0 X 0 1 1 X 0 X 1570 44701 130290 101053 81246 358860 3306442 3149191 3178654 3162350 3662842 16459479 3308012 3193892 3308944 3263403 3744088 16818339 0 0 0 16818339 12285 10184 9360 6419 38248 12285 10184 9360 6419 38248 3308012 3206177 3319128 3272763 3750507 16856587 0.99770 0.99810 0.00230 0.00190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 447343 100000 5168 552511 441163 6180 447343 1.00000 0.00000 0.00000 0 0 3800916 1239680 2561236 111449 84939 26510 2587746 3750507 3278517 471990 471990 3750507 0 3750507 0 3750507 3278517 0 3278517 0 3278517 FORM 990, PART VI, SECTION A, LINE 6 CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. FORM 990, PART VI, SECTION A, LINE 7A CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. AS MEMBERS, THEY ELECT THE BOARD OF DIRECTORS FOR SEABURY MEMORY CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BY-LAWS AND ARTICLES MUST BE APPROVED BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AFTER FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REVIEWING THE POLICY AT ORIENTATION AND AT MEETINGS THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE VICE PRESIDENT/CEO IS COMPENSATED BY CHURCH HOME OF HARTFORD, INCORPORATED, THEREFORE, HIS COMPENSATION IS DETERMINED BY THE BOARD OF CHURCH HOME OF HARTFORD. COMPENSATION IS DETERMINED USING A REVIEW OF LIKE ORGANIZATIONS, 990 REPORT FOR TOP PAID EMPLOYEES, AND USE OF ASSOCIATION WAGE SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE DOCUMENTS ARE RETAINED IN SEABURY'S LIBRARY. CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 060293500 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY CT 501(C)3 509(A)(2) 0 SEABURY AT HOME INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 205096169 TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY CT 501(C)3 509(A)(2) 0 SEABURY CHARITABLE FOUNDATION INC 200 SEABURY DRIVE BLOOMFIELD CT 06002 061458630 TO SUPPORT CHURCH HOME OF HARTFORD CT 501(C)3 509(A)(3) - TYPE I 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0