BROOKSBY VILLAGE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BROOKSBY VILLAGE INC (EIN 52-2126755)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-23
IRS object ID
201302359349300705
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)
Timestamp2013-08-23T09:58:06-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 INTERNATIONAL DRIVE SUITE 1400AddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN522126755EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BROOKSBY VILLAGE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBROONameControl
Phone9785367810Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 BROOKSBY VILLAGE DRIVEAddressLine1
CityPEABODYCity
StateMAState
ZIP Code01960ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWAYNE CRAIGName
TitlePRESIDENT & VICE CHAIRTitle
Phone9785367810Phone
Date Signed2013-08-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIA FLANNERYName
PTINP00928918PTIN
Phone4102469300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY HELEN LORENZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 BROOKSBY VILLAGE DRIVEAddressLine1
CityPEABODYCity
StateMAState
ZIP Code01960ZIPCode
FieldValueIRS element (for citing)
Gross Receipts70648554GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NATIONALSENIORCAMPUSES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionPROVIDE A HOME FOR SENIORS THAT SATISFIES THEIR THREE PRIMARY NEEDS. SEE SCHEDULE O.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1134TotalNbrEmployees
Total Nbr Volunteers521TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year337043ContributionsGrantsPriorYear
Contributions Grants Current Year500685ContributionsGrantsCurrentYear
Program Service Revenue Prior Year66645011ProgramServiceRevenuePriorYear
Program Service Revenue CY69624192ProgramServiceRevenueCY
Investment Income Prior Year176210InvestmentIncomePriorYear
Investment Income Current Year191846InvestmentIncomeCurrentYear
Other Revenue Prior Year333041OtherRevenuePriorYear
Other Revenue Current Year320201OtherRevenueCurrentYear
Total Revenue Prior Year67491305TotalRevenuePriorYear
Total Revenue Current Year70636924TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year105185GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY123657GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year27886548SalariesEtcPriorYear
Salaries Etc Current Year29115553SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year92802TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY89733TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year150034TotalFundrsngExpCurrentYear
Other Expense Prior Year36639138OtherExpensePriorYear
Other Expenses Current Year38506896OtherExpensesCurrentYear
Total Expenses Prior Year64723673TotalExpensesPriorYear
Total Expenses Current Year67835839TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2767632RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2801085RevenuesLessExpensesCY
Total Assets BOY368527379TotalAssetsBOY
Total Assets EOY366149396TotalAssetsEOY
Total Liabilities BOY389325427TotalLiabilitiesBOY
Total Liabilities EOY383060930TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-20798048NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-16911534NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE BOARD OF DIRECTORS OF NATIONAL SENIOR CAMPUSES, INC. AND ITS SUPPORTED COMMUNITIES ARE COMMITTED TO CREATING COMMUNITIES THAT CELEBRATE LIFE. SEE SCHEDULE O FOR THE COMPLETE MISSION STATEMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense65107604Expense
Grants123657Grants
Revenue69624192Revenue
DescriptionBROOKSBY VILLAGE PROVIDES SERVICES NEEDED BY SENIOR RESIDENTS, WHO RESIDE IN 1,256 INDEPENDENT LIVING UNITS, 95 ASSISTED CARE UNITS, AND 103 SKILLED NURSING BEDS. THE SERVICES WE PROVIDE TO OUR RESIDENTS INCLUDE, BUT ARE NOT LIMITED TO HOUSING, FOOD, MEDICAL, SECURITY AND MAINTENANCE SERVICES, RECREATIONAL AND PASTORAL ACTIVITIES.Description
Total Program Service Expense65107604TotalProgramServiceExpense
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
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 Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096221NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1134NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
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
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARY WINDSORBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4104022364TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1701 MAIDEN CHOICE LANEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21228ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MARY HELEN LORENZ
CHAIRPERSON4.0010.00XX13875292500
WAYNE CRAIG
PRESIDENT/VICE CHAIR2.002.20XX9375131250
WARNER SMITH
SECRETARY4.000.00XX750000
WILLOW PASLEY
TREASURER2.0014.00XX9375337500
RON WALKER
DIRECTOR1.007.00X9625372500
CAROLYN MARKEY
DIRECTOR2.003.00X9375131250
KIRK JONES
DIRECTOR1.001.00X937593750
BRUCE BEARDSLEY
DIRECTOR1.002.00X9375131250
NATE DUDLEY
DIRECTOR2.003.00X9375131250
JAMES WINGARDNER
EXECUTIVE DIRECTOR40.000.00X217694020237
MICHAEL FRANCIS
DIRECTOR OF FINANCE40.000.00X135112019884
JOHN HALL
ASSISTANT TREASURER0.507.00X000
CLARA PARKER
ASSISTANT TREASURER0.507.00X000
JAMES WALTER
ASSISTANT TREASURER0.507.00X000
CHRIS RATHMANN
ASSISTANT TREASURER0.507.00X000
HELEN LANAGAN
ASSOCIATE EXECUTIVE DIRECTOR40.000.0013741307152X
LINDA CRONIN
DIRECTOR OF NURSING EXTENDED CARE40.000.00132894011295X
TODD DELANEY
DIRECTOR OF EXTENDED CARE40.000.00122488011608X
MICHAEL SHIELDS
RN/CHARGE NURSE40.000.00121685016650X
MARY NAUGHTON
DIRECTOR OF HUMAN RESOURCES40.000.0011576307149X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1070299TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs162125TotalReportableCompFrmRltdOrgs
Total Other Compensation93975TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ERICKSON LIVING MANAGEMENT
701 MAIDEN CHOICE LANEBALTIMOREMD21228MANAGEMENT2272366
HORIZON INTERIORS LLC
PO BOX 478BILLERICAMA01821CUSTOM INTERIOR1061765
JC LANDSCAPING
20 GARDEN STREETDANVERSMA01923LANDSCAPING811918
CPN PAINTING
23A CENTRAL AVENUEREVEREMA02151PAINTING264950
COMCAST
167 WASHINGTON STREETPEABODYMA01960CABLE253981
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events100301FundraisingEvents
All Other Contributions400384AllOtherContributions
Total Contributions500685TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT FEES6239905427508654275086
RESIDENT DEPOSITS62399082177778217777
ANCILLARY FEES62399070542357054235
CONTRACT REVENUE6239906779467794
PROCESSING FEES62399093009300
FieldValueIRS element (for citing)
Total Program Service Revenue69624192TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column191846TotalRevenueColumn
Exclusion$191,846ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real320201Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real320201Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column320201TotalRevenueColumn
Exclusion$320,201ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events11630GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events100301CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses11630FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column70636924TotalRevenueColumn
Related Or Exempt Function Income69624192RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$512,047ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3900Total
Program Services3900ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total119757Total
Program Services119757ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total480177Total
Management And General480177ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22823276Total
Program Services22104085ProgramServices
Management And General694419ManagementAndGeneral
Fundraising24772Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total292073Total
Program Services251339ProgramServices
Management And General38008ManagementAndGeneral
Fundraising2726Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3677746Total
Program Services3429456ProgramServices
Management And General232732ManagementAndGeneral
Fundraising15558Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1842281Total
Program Services1748155ProgramServices
Management And General85542ManagementAndGeneral
Fundraising8584Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2272366Total
Program Services2272366ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total51187Total
Program Services20646ProgramServices
Management And General30541ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total72782Total
Program Services67282ProgramServices
Management And General5500ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total89733Total
Fundraising89733Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total23112Total
Program Services23112ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5963619Total
Program Services5205047ProgramServices
Management And General758572ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1824797Total
Program Services1824797ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6307939Total
Program Services6197813ProgramServices
Management And General104573ManagementAndGeneral
Fundraising5553Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5298118Total
Program Services5298918ProgramServices
Fundraising-800Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total128961Total
Program Services99314ProgramServices
Management And General28256ManagementAndGeneral
Fundraising1391Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total3200610Total
Program Services3200610ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10850294Total
Program Services10850294ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total527889Total
Program Services527889ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
EQUIPMENT RENTAL1443463142034322750370
RESIDENT RELATIONS249069185698611912180
AMORTIZATION214490214490
ADMINISTRATIVE & MISC.782004229335940-33

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total67835839Total
Program Services65107604ProgramServices
Management And General2578201ManagementAndGeneral
Fundraising150034Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3505BOY
EOY3565EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY31895140BOY
EOY26519270EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2861694BOY
EOY1947168EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2509000BOY
EOY5177554EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY156559BOY
EOY166939EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY441647BOY
EOY339913EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis388288812LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec68168709LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY327908798BOY
EOY320120103EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY9338339EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2751036BOY
EOY2536545EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY368527379BOY
EOY366149396EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5136290BOY
EOY4712267EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY52935000BOY
EOY51960000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY17253897BOY
EOY17253897EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY314000240BOY
EOY309134766EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY389325427BOY
EOY383060930EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-21933724BOY
EOY-18175480EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1135676BOY
EOY1263946EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-20798048BOY
EOY-16911534EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY368527379BOY
EOY366149396EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2801085ReconcilationRevenueExpenses
Reconciliation Unrealized Invest110833ReconciliationUnrealizedInvest
Reconcilation Other Changes974596ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
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 Minus4 Years245202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years228075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1034990CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year337043CurrentTaxYearMinus1Year
Current Tax Year500685CurrentTaxYear
Total2345995Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60871841CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years64787924CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67571416CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year66645011CurrentTaxYearMinus1Year
Current Tax Year69635822CurrentTaxYear
Total329512014Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61117043CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65015999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68606406CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year66982054CurrentTaxYearMinus1Year
Current Tax Year70136507CurrentTaxYear
Total331858009Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years100000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year125000CurrentTaxYearMinus1Year
Current Tax Year125000CurrentTaxYear
Total350000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years100000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year125000CurrentTaxYearMinus1Year
Current Tax Year125000CurrentTaxYear
Total350000Total
FieldValueIRS element (for citing)
Public Support Total509331508009PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8767528CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years583888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years537144CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year498761CurrentTaxYearMinus1Year
Current Tax Year512047CurrentTaxYear
Total10899368Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8767528CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years583888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years537144CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year498761CurrentTaxYearMinus1Year
Current Tax Year512047CurrentTaxYear
Total10899368Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years69884571CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65599887CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years69143550CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67480815CurrentTaxYearMinus1Year
Current Tax Year70648554CurrentTaxYear
Total342757377Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96720PublicSupportPercentage509
Prior Year Support Percentage0.92120PriorYearSupportPercentage
Investment Income Percentage0.03180InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.07880PriorYrInvestIncomePercentage
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 Basis18561174OtherCostOrOtherBasis
Book Value18561174BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis357462077OtherCostOrOtherBasis
Depreciation60480665Depreciation
Book Value296981412BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7144371OtherCostOrOtherBasis
Depreciation4642142Depreciation
Book Value2502229BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5121190OtherCostOrOtherBasis
Depreciation3045902Depreciation
Book Value2075288BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings320120103TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
ADVANCE DEPOSITS$1,272,000
RESIDENT DEPOSITS (NET)$298,098,538
FUNDS HELD FOR RESIDENTS$139,323
ACCRUED LIABILITY ON SWAP AGREEMENTS$2,003,539
PARKING DEPOSITS$50,000
UNCLAIMED PROPERTY$31,812
CLAIMS RESERVE$1,021,391
RESIDENT REFUNDS PAYABLE$4,524,137
INTEREST PAYABLE$1,880,408
DEFFERRED MANAGEMENT FEES$113,618
FieldValueIRS element (for citing)
Total Of Amounts309134766TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt69713587TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments110833NetUnrealizedGainsInvestments
Other Revenues790627OtherRevenues
Revenue Not Rptd F990901460RevenueNotRptdF990
Revenue Subtotal68812127RevenueSubtotal
Other Revenues Not Included1824797OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1824797RevenueNotRptdOnFinStmt
Total Revenue Per Form99070636924TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt65827073TotExpensesEtcAuditedFinclStmt
Other Expenses Included-183969OtherExpensesIncluded
Expenses Not Rptd F990-183969ExpensesNotRptdF990
Expenses Subtotal66011042ExpensesSubtotal
Other Expenses Not Included1824797OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1824797ExpensesNotRptdOnFinStmt
Total Expenses Per Form99067835839TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:BROOKSBY VILLAGE, INC. ("BBV") IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND THE APPLICABLE STATE INCOME TAX REGULATIONS. PEABODY CAMPUS, LLC ("PBC") IS A SINGLE MEMBER LIMITED LIABILITY COMPANY AND HAS ELECTED TO BE DISREGARDED FOR FEDERAL AND STATE INCOME TAX PURPOSES. PBC'S FINANCIAL STATEMENT ACTIVITY IS REFLECTED ON BBV'S BOOKS AND RECORDS. MANAGEMENT HAS EVALUATED BBV'S TAX POSITIONS AND HAS CONCLUDED THAT BBV HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE DISCLOSURE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL FUNDRAISING EXPENSES NETTED WITH REVENUE ON FORM 990 11,630. ADJUSTMENT TO TRNA 340,658. CHANGE IN BENEFICIAL INTERET IN BUSINESS TRUST 438,339.
PART XI, LINE 4B - OTHER ADJUSTMENTS:MARKETING EXPENSES NETTED WITH REVENUE ON FINANCIAL STATEMENTS 1,824,797.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL FUNDRAISING EXPENSES NETTED WITH REVENUE ON FORM 990 11,630. ADJUSTMENT TO TRNA 340,658. UNREALIZED GAIN ON SWAP AGREEMENT -536,257.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MARKETING EXPENSES NETTED WITH REVENUE ON FINANCIAL STATEMENTS 1,824,797.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
In Person SolicitationsXInPersonSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1ERICKSON LIVING MANAGEMENT (ELM)BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1701 MAIDEN CHOICE LANEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21228ZIPCode
FieldValueIRS element (for citing)
ActivitySOLICITATION, SPECIAL EVENTSActivity
Fundraiser Control Of Funds1FundraiserControlOfFunds
Gross Receipts600315GrossReceipts
Amount Retained By Contractor89733AmountRetainedByContractor
Net To Organization510582NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts600315TotalGrossReceipts
Total Retained By Contractors89733TotalRetainedByContractors
Total Net To Organization510582TotalNetToOrganization
Licensed StatesMALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL GALANameOfEvent1
Gross Receipts Event1111931GrossReceiptsEvent1
Charitable Contributions Event1100301CharitableContributionsEvent1
Gross Revenue Event111630GrossRevenueEvent1
Food And Beverage Event15610FoodAndBeverageEvent1
Entertainment Event14433EntertainmentEvent1
Other Direct Expenses Event11587OtherDirectExpensesEvent1
Gross Receipts Total111931GrossReceiptsTotal
Charitable Contributions Total100301CharitableContributionsTotal
Gross Revenue Total Events11630GrossRevenueTotalEvents
Food And Beverage Total Events5610FoodAndBeverageTotalEvents
Entertainment Total Events4433EntertainmentTotalEvents
Other Direct Expenses Total Events1587OtherDirectExpensesTotalEvents
Direct Expense Summary Events11630DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEDUCATIONAL SCHOLARSHIPS - SEE PART IVTypeOfGrant
Number Of Recipients100NumberOfRecipients
Amount Of Cash Grant119757AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationSCHOLAR CANDIDATES MUST BE CURRENTLY EMPLOYED YEAR-ROUND AT BROOKSBY VILLAGE. ONLY MEDICAL LEAVES OF ABSENCE ARE ALLOWABLE DURING THE TWO YEARS. OTHER REQUESTS FOR A LEAVE OF ABSENCE WILL BE REVIEWED AND DETERMINED CASE BY CASE. A SCHOLAR CANDIDATE MUST HAVE BEEN EMPLOYED BY BROOKSBY VILLAGE ON OR BEFORE SEPTEMBER 30, 2012. THE CANDIDATE MUST ALSO ACHIEVE 1,000 HOURS OF WORK DURING A TIME SPAN THAT BEGINS NO EARLIER THAN JUNE 1, 2012 OF THEIR JUNIOR YEAR OF HIGH SCHOOL (300 OF 1,000 HOURS MUST BE COMPLETED BY THE END OF THEIR JUNIOR YEAR OF HIGH SCHOOL TO QUALIFY). ANY HOURS WORKED PRIOR TO JUNE 1, 2012 DO NOT COUNT TOWARDS THE 1,000 HOURS REQUIREMENT. CANDIDATES MUST ACHIEVE THE 1,000 HOUR REQUIREMENT AS WELL AS FULFILL THE TWO-YEAR MINIMUM EMPLOYMENT REQUIREMENT. CANDIDATES MUST BE IN "GOOD STANDING" FROM THEIR ORIGINAL DATE OF HIRE THROUGH THEIR LAST DAY OF WORK. TO MAINTAIN "GOOD STANDING," SCHOLAR CANDIDATES, AS EMPLOYEES, MUST ABIDE BY ALL EMPLOYMENT POLICIES AND PROCEDURES, TO INCLUDE GIVING TWO WEEKS NOTICE TO THEIR SUPERVISOR WHEN TERMINATING EMPLOYMENT. SCHOLAR CANDIDATES MUST COMPLETE EACH STEP AS OUTLINED IN THE PROGRAM DESCRIPTION BY THE RESPECTIVE DUE DATE. FURTHERMORE, CANDIDATES MUST TURN IN PROOF OF FULL-TIME STATUS WITHIN THE DATES SPECIFIED IN THE PROGRAM DESCRIPTION FOR EACH SPRING AND FALL SEMESTER THEY ATTEND SCHOOL. FAILURE TO DO SO WILL DISQUALIFY THE SCHOLAR THAT SEMESTER AND WILL COUNT TOWARDS ONE OF THE TWO ALLOWABLE SEMESTER LAPSES. CANDIDATES SHOULD INTEND TO GO TO COLLEGE OR TRADE SCHOOL AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST ATTEND SCHOOL FULL-TIME (12 CREDIT HOURS EACH SEMESTER) AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST BE ACCEPTED AND/OR REGISTERED IN THE FALL OF 2012 AT A TRADE SCHOOL, COLLEGE, OR UNIVERSITY TO BENEFIT. (IN EXCEPTIONAL CASES, A SCHOLAR CANDIDATE MAY ARRANGE TO START SCHOOL UP TO TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM, BUT THEY MUST MAKE ARRANGEMENTS WITH THE RESIDENT LIFE DEPARTMENT. THESE TWO SEMESTERS WILL COUNT AS THE TWO ALLOCABLE SEMESTER LAPSES.) SCHOLARS WHO LAPSE FROM THE PROGRAM FOR MORE THAN A TOTAL OF TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM ARE NO LONGER ELIGIBLE TO RECEIVE THE AWARD.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
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 (2 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
JAMES WINGARDNER
EXECUTIVE DIRECTOR1714630427500348107500194870237931000
MICHAEL FRANCIS
DIRECTOR OF FINANCE11765101743602507500191340154996000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationALL OF THE INDIVIDUALS LISTED IN SCHEDULE J, PART II ARE EMPLOYEES OF ERICKSON LIVING MANAGEMENT, LLC ("ELM"), AN UNRELATED ORGANIZATION TO BROOKSBY VILLAGE, INC., IN ACCORDANCE WITH THE MANAGEMENT AGREEMENT BETWEEN BROOKSBY VILLAGE, INC. AND ELM. SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 3. THEREFORE, FOR IRS MATCHING PURPOSES, ELM IS THE ISSUER OF THESE FORMS W-2. UNDER THE MANAGEMENT AGREEMENT, BROOKSBY VILLAGE, INC. REIMBURSES ELM FOR THE COST OF SERVICES PERFORMED FOR BROOKSBY VILLAGE, INC.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN043431814IssuerEIN
CUSIP Number57583F6G1CUSIPNumber
Date Issued2004-12-22DateIssued
Issue Price57385000IssuePrice
Description Of PurposePURCHASE OF FACILITYDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired5425000AmountRetired
Total Proceeds57385000TotalProceeds
Issuance Costs From Proceeds915373IssuanceCostsFromProceeds
Credit Enhancement1469627CreditEnhancement
Capital Expenditures55000000CapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
Current Refunding0CurrentRefunding
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 Property1OwningBondFinancedProperty
Any Lease Arrangements1AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts1EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00330PrcntgePrvtBusinessUseByOthers
Total Private Business Use0.00330TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate1ExceptionToRebate
No Rebate Due1NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierExplanationExplanation
PART III, LINE 1THE ORGANIZATION IS THE SOLE MEMBER OF A DISREGARDED ENTITY WHICH OWNS BOND-FINANCED PROPERTY.
PART IV, LINE 2(B)ALL PROCEEDS WERE SPENT WITHIN SIX MONTHS OF THE ISSUE DATE.
PART IV, LINE 2(C)A REBATE COMPUTATION WAS DONE ON JULY 7, 2009 REFLECTING ACTIVITY FROM DECEMBER 22, 2004 TO JANUARY 31, 2005. AT THAT TIME IT WAS DETERMINED THAT NO REBATE WAS DUE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1UNDER THE BYLAWS OF THE ORGANIZATION, THE BOARD HAS DELEGATED AUTHORITY TO AN EXECUTIVE COMMITTEE COMPRISED OF THE ORGANIZATION'S CHAIRMAN, PRESIDENT, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL OF THE POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE ORGANIZATION EXCEPT FOR THOSE ACTIONS RESERVED SOLELY TO THE MEMBER OR THE DIRECTORS UNDER THE GENERAL LAWS OF THE STATE OF MARYLAND.
FORM 990, PART VI, SECTION A, LINE 3ON APRIL 30, 2010, BROOKSBY VILLAGE, INC. ENTERED INTO A NEW MANAGEMENT AND MARKETING AGREEMENT WITH ERICKSON LIVING MANAGEMENT, LLC ("ELM") TO PROVIDE THE SERVICES PREVIOUSLY PROVIDED BY ERC. ELM IS A SUBSIDIARY OF REDWOOD-ERC SENIOR LIVING HOLDINGS, LLC, NOW KNOWN AS ERICKSON LIVING HOLDINGS, LLC WHICH, TOGETHER WITH OTHER RELATED ENTITIES, PURCHASED THE MAJORITY OF THE ASSETS OF ERC. ELM IS A MARYLAND LIMITED LIABILITY COMPANY WHICH OPERATES AND MANAGES LARGE SCALE CONTINUING CARE RETIREMENT COMMUNITIES. THE MANAGEMENT AGREEMENT COMPLIES WITH REV. PROC. 97-13. THE FOLLOWING OFFICERS ARE LISTED IN PART VII, AS NON-COMPENSATED OFFICERS OF THE FILING ORGANIZATION, JOHN HALL, CLARA PARKER, JAMES WALTER, AND CHRIS RATHMANN. THEIR DUTIES ARE CONSIDERED PERFORMED PRO BONO. JAMES WINGARDNER, EXECUTIVE DIRECTOR, MICHAEL FRANCIS, FINANCE DIRECTOR, HELEN LANAGAN, ASSOCIATE EXECUTIVE DIRECTOR, TODD DELANEY, DIRECTOR OF EXTENDED CARE, AND MARY NAUGHTON, DIRECTOR OF HUMAN RESOURCES, ARE LEASED EMPLOYEES FROM THE MANAGEMENT COMPANY. THE FILING ORGANIZATION REIMBURSES THE MANAGEMENT COMPANY FOR THEIR COMPENSATION WHICH IS REPORTED ON FORM 990, PART VII, SECTION A.
FORM 990, PART VI, SECTION A, LINE 6BROOKSBY VILLAGE INC.'S SOLE MEMBER IS NATIONAL SENIOR CAMPUSES, INC. ("NSC"). NSC IS A MARYLAND NON-STOCK CORPORATION. NSC IS A "SUPPORTING ORGANIZATION" WITH RESPECT TO BROOKSBY VILLAGE, AS WELL AS CERTAIN OTHER ORGANIZATIONS SPECIFIED IN ITS GOVERNING DOCUMENTS. AS REQUIRED BY THE REGULATIONS RELATING TO "SUPPORTING ORGANIZATIONS," CERTAIN MEMBERS OF THE BOARD OF DIRECTORS OF NSC WILL ALSO BE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ANATIONAL SENIOR CAMPUSES, INC. HAS THE RIGHT TO APPOINT AND ELECT ALL DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN EXTRAORDINARY ACTIONS OF THE CORPORATION REQUIRE THE APPROVAL OF THE MEMBER UNDER APPLICABLE STATE LAW.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD APPOINTS A COMMITTEE FROM AMONG ITS DIRECTORS AS WELL AS THE DIRECTORS FROM ONE OR MORE RELATED ENTITIES TO OVERSEE THE PREPARATION OF FORM 990. THE BOARD CHAIR HAS THE RESPONSIBILITY TO REVIEW FORM 990 PRIOR TO ITS FILING OR TO DESIGNATE ANOTHER BOARD MEMBER TO REVIEW THE FORM. THE FULL BOARD IS GIVEN THE OPPORTUNITY TO REVIEW THE FINAL VERSION OF FORM 990 BEFORE IT IS FILED AND ASK QUESTIONS OF THE COMMITTEE OR THE REVIEWER REGARDING THE FORM. THE BOARD CHAIR DESIGNATES AN OFFICER TO SIGN FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CBROOKSBY VILLAGE, INC.'S CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, EMPLOYEES AND VOLUNTEERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER BROOKSBY VILLAGE, INC.'S AFFAIRS, COMMITTEE MEMBERS, PROSPECTIVE DIRECTORS, AND SENIOR STAFF PROVIDING SERVICES TO THE ORGANIZATION UNDER A MANAGEMENT AGREEMENT. EACH COVERED PERSON COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND AS POTENTIAL CONFLICTS ARISE DURING THE YEAR. THESE STATEMENTS ARE REVIEWED BY THE BOARD CHAIR. IF THE CONFLICT INVOLVES A COVERED EMPLOYEE, THE CHAIR DETERMINES WHETHER A CONFLICT EXISTS AND, IF SO, HOW IT IS TO BE HANDLED, OR THE CHAIR MAY REFER THE MATTER TO THE BOARD OF DIRECTORS FOR CONSIDERATION. FOR ALL OTHER CONFLICTS, THE BOARD OF DIRECTORS OR A COMMITTEE OF DISINTERESTED DIRECTORS WILL DETERMINE WHETHER A CONFLICT ACTUALLY EXISTS. A COVERED PERSON MAY NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE BY THE BOARD BUT MAY ANSWER QUESTIONS OR PROVIDE CLARIFYING INFORMATION UNLESS ANY BOARD MEMBER OBJECTS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD HAS APPROVED A DIRECTORS' COMPENSATION POLICY WHICH ESTABLISHES THE PROCESS BY WHICH ALL DIRECTOR COMPENSATION IS DETERMINED. OFFICERS SERVE WITHOUT COMPENSATION. A REVIEW OF THE DIRECTORS' COMPENSATION IS CONDUCTED EACH FISCAL YEAR. COMPENSATION IS APPROACHED ON AN OVERALL BASIS AND THE TOTAL VALUE OF ALL FORMS OF COMPENSATION IS ESTABLISHED AND MONITORED. AN INDEPENDENT COMPENSATION CONSULTANT IS PERIODICALLY RETAINED TO PERFORM AN ANALYSIS OF BROOKSBY VILLAGE, INC.'S COMPENSATION USING COMPARABLES OF BOTH FOR-PROFIT AND NON-PROFIT PEERS. A COMMITTEE OF THE NSC BOARD REVIEWS THE CONSULTANT'S REPORT AND MAKES A RECOMMENDATION TO THE ORGANIZATION AS TO APPROPRIATE COMPENSATION OF DIRECTORS. THE FULL BOARD HAS ACCESS TO BROOKSBY VILLAGE, INC.'S CONSULTANT'S REPORT AND AN OPPORTUNITY TO QUESTION THE CONSULTANT ABOUT THE PROCESS, METRICS, AND COMPARABLES THAT WERE USED IN DETERMINING THE RECOMMENDED COMPENSATION. THE BOARD THEN VOTES ON THE COMPENSATION RECOMMENDATIONS AND A CONTEMPORANEOUS RECORD IS MADE OF THE MEETING AND THE VOTE. THE CONSULTANT REVIEW WAS LAST UNDERTAKEN IN 2010 AND WAS ACTED UPON BY THE BOARD IN EARLY 2011.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE EXECUTIVE DIRECTOR'S OFFICE.
FORM 990, PART XI, LINE 9:UNREALIZED GAIN ON SWAPS 536,257. CHANGE IN BENEFICIAL INTEREST IN BUSINESS TRUST 438,339.CHANGES IN NET ASSETS OR FUND BALANCES:
MISSION STATEMENT SHARING OUR GIFTS TO CREATE COMMUNITIES THAT CELEBRATE LIFE THE BOARD OF DIRECTORS OF NATIONAL SENIOR CAMPUSES, INC. AND ITS SUPPORTED COMMUNITIES ARE COMMITTED TO ACHIEVING THE MISSION BY: 1. PROMOTING AN ACTIVE QUALITY OF LIFE FOR SENIORS -CREATING LARGE SCALE RETIREMENT CAMPUSES TO PROMOTE ACTIVITY AND HEALTHY LIVING. -PROVIDING A RESIDENT CENTERED SERVICE CULTURE. -ENCOURAGING RESIDENT RUN ACTIVITIES WITH PROFESSIONAL SUPPORT. 2. ACHIEVING EXCELLENCE IN SERVICES AND PROGRAMS -EXERCISING ITS AUTHORITY IN SERVICES, PROGRAMS, FEES, FACILITIES AND FINANCING. -EMBRACING COMPLIANCE, ETHICS AND INTEGRITY. -OVERSEEING SERVICES AND PROGRAMS PERSONALLY AND IN MEETINGS WITH THE RESIDENTS ADVISORY COUNCIL. -TAKING A LONG-TERM VIEW OF FIDUCIARY RESPONSIBILITY. 3. INSURING AFFORDABILITY TO MIDDLE INCOME SENIORS -FOCUSING ON THE LONG TERM VIABILITY OF THE COMMUNITY FOR CURRENT AND FUTURE RESIDENTS. -USING FINANCING STRATEGIES TO LOWER THE COST OF CAPITAL. -QUALIFYING FOR EXEMPTION FROM FEDERAL AND STATE INCOME TAX. -OBTAINING PROPERTY TAX REDUCTIONS FROM COMMUNITY GOVERNMENTS. -ACCUMULATING NET INCOME TO FURTHER THE MISSION. -MAINTAINING A POLICY FOR FULLY REFUNDABLE ENTRANCE DEPOSIT. -OFFERING FEE-FOR-SERVICE HEALTH CARE. 4. MAKING A LIFE CARE COMMITMENT -TO THE EXTENT FEASIBLE, ENSURING THAT NO RESIDENT SHOULD EVER HAVE TO LEAVE A COMMUNITY AS A RESULT OF FINANCIAL INABILITY TO PAY FOR THE COST OF THEIR CARE. -ENCOURAGING FUNDRAISING EFFORTS IN SUPPORT OF BENEVOLENT CARE. 5. FOSTERING GROWTH -COMMITTING TO MAKING THIS LIFESTYLE AVAILABLE TO AN INCREASING NUMBER OF SENIORS. -INCREASING EFFORTS TO ACHIEVE AFFORDABILITY. -DEVELOPING NEW COMMUNITIES IN CURRENT MARKETS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PEABODY CAMPUS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 BROOKSBY VILLAGE DRIVEAddressLine1
CityPEABODYCity
StateMAState
ZIP Code01960ZIPCode
FieldValueIRS element (for citing)
EIN522095425EIN
Primary ActivitiesOWNER OF LAND AND BUILDINGSPrimaryActivities
Legal Domicile StateMDLegalDomicileState
Total Income0TotalIncome
EOY Assets373141072EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BROOKSBY VILLAGE INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ASHBY PONDS INC
21170 ASHBY PONDS BLVDASHBURNVA20147205609803CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
CEDAR CREST VILLAGE INC
1 CEDAR CREST VILLAGE DRIVEPOMPTON PLAINSNJ07444522184915CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
EAGLE'S TRACE INC
14703 EAGLE VISTA DRIVEHOUSTONTX77077030498683CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
FOX RUN VILLAGE INC
41000 13 MILE ROADNOVIMI48377522291271CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
ANN'S CHOICE INC
10000 ANNS CHOICE WAYWARMINSTERPA18974522095427CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
HICKORY CHASE INC
701 MAIDEN CHOICE LANEBALTIMOREMD21228208991395CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
HIGHLAND SPRINGS INC
8000 FRANKFORD ROADDALLASTX75252510536892CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
LINDEN PONDS INC
300 LINDEN PONDS WAYHINGHAMMA02043141849849CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
MARIS GROVE INC
100 MARIS GROVE WAYGLEN MILLSPA19342550878964CONTINUING CARE RETIREMENT COMMUNITYPA501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
NATIONAL SENIOR CAMPUSES INC
701 MAIDEN CHOICE LANEBALTIMOREMD21228204356247SUPPORTING ORGANIZATIONMD501(C)(3)LINE 11C, III-FI0N/A
NATIONAL SENIOR CAMPUSES FOUNDATION INC
701 MAIDEN CHOICE LANEBALTIMOREMD21228030611973SUPPORTING ORGANIZATIONMD501(C)(3)LINE 11C, III-FI0N/A
OAK CREST VILLAGE INC
8800 WALTHER BOULEVARDPARKVILLEMD21234521874053CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
RIDERWOOD VILLAGE INC
3110 GRACEFIELD ROADSILVER SPRINGMD20904522126753CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
SEABROOK VILLAGE INC
3000 ESSEX ROADTINTON FALLSNJ07753522126751CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
TALLGRASS CREEK INC
13800 METCALF AVENUEOVERLAND PARKKS66223870765641CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
WIND CREST INC
3235 MILL VISTA ROADHIGHLANDS RANCHCO80129510549976CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
GREENSPRING VILLAGE INC
7440 SPRING VILLAGE DRIVESPRINGFIELDVA22150522095427CONTINUING CARE RETIREMENT COMMUNITYMD501(C)(3)9NATIONAL SENIOR CAMPUSES INC0
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 Org0LoansOrGuaranteesToOtherOrg
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 Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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