FURP.ORG / PUBLIC DATA EXPLORER

GALLOWAY RIDGE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GALLOWAY RIDGE INC (EIN 56-2277623)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201303179349304995
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)
Timestamp2013-11-13T16:00:25-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562277623EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GALLOWAY RIDGE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGALLNameControl
Phone9195452215Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 GALLOWAY RIDGEAddressLine1
CityPITTSBOROCity
StateNCState
ZIP Code27312ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEDMUND DALE OLBRICHName
TitlePRESIDENT AND CHAIRMANTitle
Phone9195452215Phone
Date Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDALE OLBRICHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13000 GALLOWAY RIDGEAddressLine1
CityPITTSBOROCity
StateNCState
ZIP Code27312ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21495651GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GALLOWAYRIDGE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF CONTINUING CARE RETIREMENT COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees415TotalNbrEmployees
Total Nbr Volunteers115TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year156549ContributionsGrantsPriorYear
Contributions Grants Current Year194438ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19204552ProgramServiceRevenuePriorYear
Program Service Revenue CY20962036ProgramServiceRevenueCY
Investment Income Prior Year87931InvestmentIncomePriorYear
Investment Income Current Year41551InvestmentIncomeCurrentYear
Other Revenue Prior Year122582OtherRevenuePriorYear
Other Revenue Current Year294988OtherRevenueCurrentYear
Total Revenue Prior Year19571614TotalRevenuePriorYear
Total Revenue Current Year21493013TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year43762GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7458263SalariesEtcPriorYear
Salaries Etc Current Year8842853SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13469218OtherExpensePriorYear
Other Expenses Current Year14897142OtherExpensesCurrentYear
Total Expenses Prior Year20971243TotalExpensesPriorYear
Total Expenses Current Year23750995TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1399629RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2257982RevenuesLessExpensesCY
Total Assets BOY154301992TotalAssetsBOY
Total Assets EOY152513609TotalAssetsEOY
Total Liabilities BOY173874424TotalLiabilitiesBOY
Total Liabilities EOY174344023TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-19572432NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-21830414NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF GALLOWAY RIDGE IS TO PROVIDE EACH RESIDENT WITH A SUPERIOR QUALITY OF LIFE AND CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19659834Expense
Grants11000Grants
Revenue20962036Revenue
DescriptionGALLOWAY RIDGE, INC. PROVIDED HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RESIDENT FACILITY CONTAINING 301 INDEPENDENT LIVING UNITS, 36 ASSISTED LIVING UNITS, 15 MEMORY CARE UNITS AND 40 SKILLED NURSING UNITS. GALLOWAY RIDGE WELCOMED ITS FIRST RESIDENTS IN 2005 WITH A MISSION OF PROVIDING ITS RESIDENTS SUPERIOR SERVICES AT A REASONABLE COST AND STRIVING TO PROVIDE A COMPLEMENT OF SERVICES TO SUPPORT THE RESIDENTS HEALTH, SOCIAL, SPIRITUAL AND RECREATIONAL NEEDS. SINCE INCEPTION, GALLOWAY RIDGE HAS PAID PROPERTY TAXES TO CHATHAM COUNTY IN A TOTAL AMOUNT EQUAL TO $3,364,117, $661,496 OF WHICH WAS PAID MOST RECENTLY IN 2012. IN ADDITION TO PAYING PROPERTY TAXES, GALLOWAY RIDGE HAS CONSISTENTLY ENGAGED IN A VARIETY OF OTHER CHARITABLE EFFORTS AND CONTRIBUTIONS. IN 2012, GALLOWAY RIDGE ASSISTED RESIDENTS WHO COULD NOT PAY THEIR MONTHLY SERVICE FEE ($24,774), MADE CASH DONATIONS TO LOCAL NONPROFITS ($11,000), AND PROVIDED FITNESS MEMBERSHIPS TO ITS EMPLOYEES ($126,148).SOON AFTER OPENING, IN 2006, THE GALLOWAY RIDGE CHARITABLE FUND WAS ESTABLISHED AT THE RECOMMENDATION OF THE BOARD OF DIRECTORS' SOCIAL ACCOUNTABILITY COMMITTEE, A STANDING COMMITTEE OF THE BOARD. THE CHARITABLE FUND WAS ORGANIZED AND CONTINUES TO OPERATE FOR THE FOLLOWING PURPOSES:(A) TO CARRY OUT THE MISSION OF GALLOWAY RIDGE AS STATED IN THE GALLOWAY RIDGE BYLAWS.(B) TO PROVIDE OR FUND "CHARITY CARE," DEFINED AS THE UNREIMBURSED COSTS TO GALLOWAY RIDGE OF PROVIDING HEALTHCARE, HOUSING OR OTHER SERVICES TO RESIDENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THE SERVICES RENDERED.(C) TO PROVIDE OR FUND "COMMUNITY BENEFITS," DEFINED AS THE UNREIMBURSED COSTS TO GALLOWAY RIDGE OF PROVIDING THE FOLLOWING:I. SERVICES, INCLUDING HEALTH, RECREATION, COMMUNITY RESEARCH, AND EDUCATION ACTIVITIES PROVIDED TO THE COMMUNITY AT LARGE, INCLUDING THE ELDERLY.II. CHARITABLE DONATIONS.III. DONATED VOLUNTEER SERVICES.IV. DONATIONS AND VOLUNTARY PAYMENTS TO GOVERNMENT AGENCIES.(D) TO SOLICIT, RECEIVE, ADMINISTER, INVEST AND DISTRIBUTE FUNDS FOR THE PURPOSES LISTED ABOVE.CONTRIBUTIONS TO THE GALLOWAY RIDGE CHARITABLE FUND MAY BE DESIGNATED THESE PURPOSES: I) SUPPORT FOR GALLOWAY RIDGE RESIDENTS WHO MAY NEED ASSISTANCE WITH FEES IN THE FUTURE BECAUSE OF DIFFICULT FINANCIAL CIRCUMSTANCES; II) SUPPORT OF THE CHATHAM COMMUNITY; GALLOWAY RIDGE AND ITS RESIDENTS HAVE FOSTERED AND ESTABLISHED RELATIONSHIPS WITH NUMEROUS AGENCIES AND ORGANIZATIONS THROUGHOUT THE COMMUNITY INCLUDING THE FOLLOWING:BRIAN CHAPEL CONSULTING, MEALS ON WHEELS, EUCHARISTIC MINISTER,CHAPEL IN THE PINES, NORTH CHATHAM SCHOOL, HABITAT HOME STORE,CHATHAM COUNTY DEMOCRATICS, READING PROGRAM @ PITTSBORO ELEMENTARY,CHATHAM COUNTY HUMAN RELATIONS COMMISSION, SECOND BLOOM THRIFT STORE,CHATHAM HOUSING COALITION, ST. BARTHOLOMEW'S, FHA OFFICE,CHATHAM OUTREACH ALLIANCE FOOD PANTRY, ST. JULIA CHURCH,COMMUNITY EDUCATION FOUNDATION, ST. THOMAS MORE CHURCH,COMMUNITY INDEPENDENT SCHOOL, TUTORING AT SCROGGS SCHOOL,COMMUNITY KITCHEN CHAPEL HILL, UNC HOSPITAL/HOSPICE VOLUNTEER,CONTINUING CARE COMMUNITY RESIDENTS, UNC LIBRARY,CORNUCOPIA HOUSE, UNC TOUR, FEARRINGTON CARES,DEEP RIVER MEDIATION, UNITED METHODIST RETIREMENT HOME FOUNDATION,DUKE UNIVERSITY HEART CENTER, UNITED WAY, VILLAGE VOICES,DUKE UNIVERSITY HOSPITAL VOLUNTEER VISITOR, UNIVERSITY UNITED METHODIST CHURCH,ENGLISH AS A SECOND LANGUAGE TUTOR, MCDOUGAL ELEMENTARY SCHOOL LIBRARY,FEARRINGTON HOUSE, FEARRINGTON WOMAN'S CLUB,IN 2012, GALLOWAY RIDGE NOT ONLY SUPPORTED THE ABOVE MENTIONED ORGANIZATIONS BY FOSTERING AN ENVIRONMENT THAT SUPPORTED AND ENCOURAGED ITS RESIDENTS AND EMPLOYEES TO VOLUNTEER, IT ALSO MADE THE FOLLOWING CASH COMMITMENTS:- BYNUM FRONT PORCH ($1,000)- CHATHAM SOCCER LEAGUE ($2,000)- CHATHAM COUNTY ARTS COUNCIL ($2,000)- SISTERS' VOICES ($1,000)- SAGE ACADEMY ($2,000)- ST. JULIA CATHOLIC CHURCH ($3,000)Description
Total Program Service Expense19659834TotalProgramServiceExpense
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 Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees415NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT ZIMMERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9195452608TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13000 GALLOWAY RIDGEAddressLine1
CityPITTSBOROCity
StateNCState
ZIP Code27312ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
EDMUND DALE OLBRICH
PRESIDENT AND CHAIRMAN1.00XX000
BILL BROWDER
VICE CHAIRMAN1.00XX000
PHIL STOUT
SECRETARY1.00XX000
LIDA COLEMAN
TREASURER1.00XX000
JAMES ANDERSON
BOARD MEMBER1.00X000
PEGI BRADY
BOARD MEMBER1.00X000
DICK CRAFTS
BOARD MEMBER1.00X000
RHODES CRAVER
BOARD MEMBER1.00X000
PAM HERNDON
BOARD MEMBER1.00X000
RICHARD KAHLER
BOARD MEMBER1.00X000
RUTH KATZ
BOARD MEMBER1.00X000
JIM MILLER
BOARD MEMBER1.00X000
DAVIE NYCUM
BOARD MEMBER1.00X000
JAMES ROUSE
BOARD MEMBER1.00X000
JOHN ZAREMBA
BOARD MEMBER1.00X000
HEATHER RODIN
BOARD MEMBER1.00X000
HEATHER BACHMAN RUSNAK
EXECUTIVE DIRECTOR50.00X147598016346
ROBERT ZIMMER
CFO50.00X9578104794
DOUG OLIVER
ASSOCIATE EXECUTIVE DIRECT50.00126937010267X
FieldValueIRS element (for citing)
Total Reportable Comp From Org370316TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation31407TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
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
US FOOD SERVICE INC
PO BOX 602211CHARLOTTENC28260FOOD PURCHASE911480
CSRALCS MANAGEMENT LLC
400 LOCUST STREET STE 820DES MOINESIA50309MANAGEMENT COMPANY686660
REHAB CARE GROUP INC
PO BOX 503534ST LOUISMO63150CONTRACT THERAPY SERVICES624953
WEAVER COOKE CONSTRUCTION LLC
PO BOX 26030GREENSBORONC27420CONSTRUCTION421359
DIRECT SUPPLY EQUIPMENT
PO BOX 88201MILWAUKEEWI53288EQUIPMENT317544
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions194438AllOtherContributions
Total Contributions194438TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column20962036TotalRevenueColumn
Related Or Exempt Function Income20962036RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue20962036TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column44189TotalRevenueColumn
Exclusion$44,189ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real64568Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real64568Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column64568TotalRevenueColumn
Exclusion$64,568ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2638Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-2638Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2638TotalRevenueColumn
Exclusion-$2,638ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
DINING INCOME900099142084$142,084
MISCELLANEOUS INCOME90009988336$88,336
FieldValueIRS element (for citing)
Total Other Revenue230420TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21493013TotalRevenueColumn
Related Or Exempt Function Income20962036RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$336,539ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total11000Total
Program Services11000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total264519Total
Management And General264519ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6669742Total
Program Services5618954ProgramServices
Management And General1050788ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total108642Total
Program Services108642ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1201423Total
Program Services10570ProgramServices
Management And General1190853ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total598527Total
Program Services418278ProgramServices
Management And General180249ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total445000Total
Management And General445000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total80831Total
Management And General80831ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total91387Total
Management And General91387ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total952351Total
Program Services753605ProgramServices
Management And General198746ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total181857Total
Program Services31752ProgramServices
Management And General150105ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total993799Total
Program Services723240ProgramServices
Management And General270559ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total75330Total
Program Services11106ProgramServices
Management And General64224ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2197680Total
Program Services2197680ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total82411Total
Program Services11288ProgramServices
Management And General71123ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17838Total
Program Services6883ProgramServices
Management And General10955ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3270732Total
Program Services3270732ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4162841Total
Program Services4162841ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total270695Total
Program Services270695ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIETARY EXPENSE944381944381
MEDICAL SUPPLIES858024858024
CLINIC EXPENSE182470182470
MISCELLANEOUS500842826221822

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total39431Total
Program Services39431ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23750995Total
Program Services19659834ProgramServices
Management And General4091161ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY1763224EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15849421BOY
EOY11972566EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY433923BOY
EOY428848EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY1983863EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY39967BOY
EOY55388EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY322734BOY
EOY388245EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis136557775LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22981649LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY104480681BOY
EOY113576126EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16652830BOY
EOY10433655EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16522436BOY
EOY11911694EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY154301992BOY
EOY152513609EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4019876BOY
EOY2785366EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY70527542BOY
EOY83548459EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY91575136BOY
EOY81904201EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY2076630BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5675240BOY
EOY6105997EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY173874424BOY
EOY174344023EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-19970752BOY
EOY-22368999EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY398320BOY
EOY538585EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-19572432BOY
EOY-21830414EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY154301992BOY
EOY152513609EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2257982ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Years92059CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129035CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years245423CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year156549CurrentTaxYearMinus1Year
Current Tax Year194438CurrentTaxYear
Total817504Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17794893CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17944731CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19092296CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19204552CurrentTaxYearMinus1Year
Current Tax Year20962036CurrentTaxYear
Total94998508Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years85795CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year94882CurrentTaxYearMinus1Year
Current Tax Year142084CurrentTaxYear
Total322761Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17886952CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18073766CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19423514CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19455983CurrentTaxYearMinus1Year
Current Tax Year21298558CurrentTaxYear
Total96138773Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years225349CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years234909CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years166826CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8780CurrentTaxYearMinus1Year
Current Tax Year9550CurrentTaxYear
Total645414Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years225349CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years234909CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years166826CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8780CurrentTaxYearMinus1Year
Current Tax Year9550CurrentTaxYear
Total645414Total
FieldValueIRS element (for citing)
Public Support Total50995493359PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107722CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years188974CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97794CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106768CurrentTaxYearMinus1Year
Current Tax Year108757CurrentTaxYear
Total610015Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107722CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years188974CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97794CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106768CurrentTaxYearMinus1Year
Current Tax Year108757CurrentTaxYear
Total610015Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years444772CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53933CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35839CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8863CurrentTaxYearMinus1Year
Current Tax Year88336CurrentTaxYear
Total631743Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18439446CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18316673CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19557147CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19571614CurrentTaxYearMinus1Year
Current Tax Year21495651CurrentTaxYear
Total97380531Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98060PublicSupportPercentage509
Prior Year Support Percentage0.97040PriorYearSupportPercentage
Investment Income Percentage0.00630InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01040PriorYrInvestIncomePercentage
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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS0IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4934777OtherCostOrOtherBasis
Book Value4934777BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis108190048OtherCostOrOtherBasis
Depreciation18277256Depreciation
Book Value89912792BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis736744OtherCostOrOtherBasis
Depreciation124463Depreciation
Book Value612281BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7730805OtherCostOrOtherBasis
Depreciation1306016Depreciation
Book Value6424789BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14965401OtherCostOrOtherBasis
Depreciation3273914Depreciation
Book Value11691487BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings113576126TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
RESERVE REQUIRED BY STATE STATUTE4392316
DEFERRED FINANCING COSTS2464339
DEFERRED MARKETING COSTS4206003
SALES TAX RECEIVABLE163085
CHARITABLE FUND538585
ENTRANCE FEES FOR UNITS TO BE CONSTRUCTED147366
FieldValueIRS element (for citing)
Total Book Value Other Assets11911694TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ENTRANCE FEES$5,725,997
REFUNDABLE PARKING DEPOSITS$380,000
FieldValueIRS element (for citing)
Total Of Amounts6105997TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt21796203TotRevenueEtcAuditedFinclStmt
Other Revenues303190OtherRevenues
Revenue Not Rptd F990303190RevenueNotRptdF990
Revenue Subtotal21493013RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99021493013TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt24054185TotExpensesEtcAuditedFinclStmt
Other Expenses Included303190OtherExpensesIncluded
Expenses Not Rptd F990303190ExpensesNotRptdF990
Expenses Subtotal23750995ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023750995TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFIT OR OBLIGATION AS OF DECEMBER 31, 2012. THE COMPANY BELIEVES IT'S NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2009.
PART XI, LINE 2D - OTHER ADJUSTMENTS:EXPENDITURES IN REVENUE 303,190.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENDITURES IN REVENUE 303,190.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
Name PersonHEATHER BACHMAN RUSNAKNamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org139198BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org8400BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org6097DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org10249NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org163944TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NORTH CAROLINA MEDICAL CARE COMMISSION
A52130940265820YJJ62010-10-2175989731SEE PART VI000
NORTH CAROLINA MEDICAL CARE COMMISSION
B5213094022010-10-2119930000SEE PART VI000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A4000007602198580976462396889145468511575712464467438755000233600820120001
B1362927219930000558593398600125846115131158258318820120001

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000001
B00000.000000.000000.00000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A010010001
B010010001

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE K, PART I, LINE A, COLUMN F, DESCRIPTION OF PURPOSE:THE PROCEEDS OF THE 2010A AND 2010B BONDS ARE BEING USED TO CONSTRUCT THE EXPANSION OF 67 INDEPENDENT LIVING UNITS (66 INDEPENDENT LIVING APARTMENTS AND 1 INDEPENDENT LIVING VILLA), 29 ASSISTED LIVING UNITS, OF WHICH 15 ARE DESIGNATED FOR DEMENTIA CARE, AND 24 SKILLED NURSING UNITS, AS WELL AS ADDITIONAL AND RENOVATED SUPPORTIVE COMMON AREAS OF THE PROJECT. ADDITIONALLY, PROCEEDS FROM THE 2010A AND 2010B BONDS WERE USED TO PAY A PORTION OF THE OUTSTANDING LOANS FROM THE BANK OF SCOTLAND AND TO FUND CERTAIN DEBT SERVICE RESERVES AND OTHER COSTS ASSOCIATED WITH ISSUANCE OF THE 2010A AND 2010B BONDS. THE SERIES 2010A BONDS WERE ISSUED AT A DISCOUNT OF $190,269.
SCHEDULE K, PART I, LINE B, COLUMN F, DESCRIPTION OF PURPOSE:IN OCTOBER 2010, THE ORGANIZATION ISSUED $19,930,000 RETIREMENT FACILITIES FIRST MORTGAGE REVENUE BONDS (GALLOWAY RIDGE PROJECT) SERIES 2010C AS A BANK QUALIFIED LOAN THROUGH THE NORTH CAROLINA MEDICAL CARE COMMISSION. THIS LOAN IS DRAWN UPON AS NEEDED BY THE COMPANY. PROCEEDS WERE USED TO PAY A PORTION OF THE OUTSTANDING LOANS FROM THE BANK OF SCOTLAND, REIMBURSE THE COMPANY FOR COSTS INCURRED FOR PHASE II CONSTRUCTION AND PAY OTHER COSTS ASSOCIATED WITH ISSUANCE OF THE 2010C BONDS.
SCHEDULE K, PART II, LINE 3, TOTAL PROCEEDS:THE AMOUNT OF TOTAL PROCEEDS PRESENTED ON LINE 3 FOR BOND [A] INCLUDES EARNINGS ON INVESTMENTS AS FOLLOWS: PROCEEDS FROM ISSUANCE (NET OF DISCOUNT): $ 75,989,731 INVESTMENT EARNINGS TO DATE: 32,254 TOTAL TO LINE 3: $ 76,021,985
SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS:THE AMOUNT ON PART II, LINE 11 FOR BOND [A] REPRESENTS AMOUNTS USED TO CURRENTLY REFUND A CONSTRUCTION LOAN RELATED TO THE 2010 PROJECT THAT IS NOT CLASSIFIED AS A TAX-EXEMPT BOND ISSUE.
SCHEDULE K, PART II, LINE 12, OTHER UNSPENT PROCEEDS:THE AMOUNT ON PART II, LINE 12 FOR BOND [B] REPRESENTS AMOUNTS NOT YET DRAWN DOWN FROM THE ORIGINAL AGREED ISSUANCE PRICE. THESE FUNDS ARE NOT HELD BY THE ORGANIZATION UNTIL SUCH TIME AS IT REQUISITIONS THEM FOR CONSTRUCTION REIMBURSEMENT.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE PRIMARY FUNCTION OF THE EXECUTIVE COMMITTEE WILL BE TO EXECUTE THE POLICIES PRESCRIBED BY THE BOARD AND CARRY OUT THE RESPONSIBILITIES ASSIGNED TO IT BY THE BOARD AND THESE BYLAWS, INCLUDING, WITHOUT LIMITATION, CONDUCTING STRATEGIC PLANNING FOR THE CORPORATION, ESTABLISHING CRITERIA TO EVALUATE THE EXECUTIVE DIRECTION AND OTHER OFFICERS AND EMPLOYEES OF THE CORPORATION, AND OVERSEEING RELATIONSHIPS WITH THE CORPORATION'S OUTSIDE SERVICE PROVIDERS. THE BOARD MANAGEMENT COMMITTEE WILL ALSO BE RESPONSIBLE FOR REVIEWING AND MAKING RECOMMENDATIONS REGARDING CONFLICTS OF INTEREST OF DIRECTORS, OFFICERS, EMPLOYEES AND INDEPENDENT CONTRACTORS AND THEIR EMPLOYEES ASSOCIATED WITH THE CORPORATION. DURING THE INTERVALS BETWEEN THE MEETINGS OF THE BOARD, THE EXECUTIVE COMMITTEE WILL HAVE AND EXERCISE ALL OF THE POWERS OF THE BOARD THAT MAY BE LAWFULLY DELEGATED IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION. THE EXECUTIVE COMMITTEE WILL BE COMPRISED OF THE FOLLOWING: (1) SUCH OFFICERS OF THE CORPORATION AS MAY HOLD OFFICE FROM TIME TO TIME; (2) THE CHAIRPERSONS OF SUCH COMMITTEES OF THE CORPORATION AS MAY EXIST FROM TIME TO TIME; AND (3) SUCH OTHER DIRECTORS AS MAY BE NOMINATED BY THE PRESIDENT AND APPOINTED BY THE BOARD FROM TIME TO TIME. THE PRESIDENT OF THE CORPORATION WILL BE THE CHAIRPERSON OF THE EXECUTIVE COMMITTEE. EACH MEMBER OF THE EXECUTIVE COMMITTEE WILL HOLD OFFICE FOR THE DURATION OF SUCH PERSON'S TERM IN AN OFFICE THAT QUALIFIES SUCH PERSON FOR MEMBERSHIP ON THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION CONTRACTS ITS EXECUTIVE DIRECTOR FROM CRSA/LCS MANAGEMENT, LLC. UNDER THE TERMS OF A MANAGEMENT AGREEMENT, MANAGEMENT SERVICES ARE PROVIDED TO THE ORGANIZATION BY COOPERATIVE RETIREMENT SERVICES OF AMERICA (CRSA). THESE SERVICES INCLUDE THE SUPERVISION OF ALL ASPECTS OF NORMAL OPERATIONS INCLUDING BUDGETING, HIRING OF EMPLOYEES, BILLING, PAYROLL, ACCOUNTS PAYABLE, AND OTHER MANAGEMENT RESPONSIBILITIES.
FORM 990, PART VI, SECTION B, LINE 11THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED BY MANAGEMENT AND DISTRIBUTED ELECTRONICALLY TO THE MEMBERS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS WERE GIVEN TIME TO REVIEW, DISCUSS, AND COMMENT PRIOR TO THE FORM BEING ELECTRONICALLY FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED BY ALL BOARD MEMBERS ANNUALLY. EACH BOARD MEMBER SIGNS A STATEMENT INDICATING THE UNDERSTANDING OF AND COMPLIANCE WITH THE POLICY. THE CONFLICT OF INTEREST POLICY IS BASED UPON THE IRS MODEL CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF EXECUTIVE DIRECTOR IS REVIEWED BY THE MANAGEMENT COMPANY (CRSA) AND THE PRESIDENT (I.E. CHAIRPERSON OF THE BOARD) ANNUALLY USING INDUSTRY DATA FOR COMPARISON. OTHER KEY EMPLOYEES HAVE ANNUAL REVIEWS BY THE EXECUTIVE DIRECTOR AND COMPARABILITY DATA IS REVIEWED ON A REGULAR BASIS.
FORM 990, PART VI, SECTION C, LINE 18PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023, FORM 990 AND FORM 990-T ARE AVAILABLE UPON REQUEST. RECENT FILINGS OF THE FORM 990 CAN BE ACCESSED THROUGH GUIDESTAR.ORG, A NON-PROFIT WEBSITE.
FORM 990, PART VI, SECTION C, LINE 19BYLAWS, WITH ANY CHANGES OR UPDATES, ARE MAINTAINED IN THE RESIDENT LIBRARY AND ARE ALSO AVAILABLE BY REQUEST. THE CONFLICT OF INTEREST POLICY IS INCLUDED IN THE ANNUAL DISCLOSURE STATEMENT. FINANCIAL STATEMENTS ARE PROVIDED MONTHLY TO THE PRIMARY CREDITOR, BOARD AUDIT & FINANCE COMMITTEE, AND THE RESIDENT FINANCE COMMITTEE AND PROVIDED QUARTERLY TO THE BOARD. THE ANNUAL AUDIT IS PROVIDED ANNUALLY IN THE DISCLOSURE STATEMENT.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.