CAMPHILL HUDSON INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CAMPHILL HUDSON INC (EIN 26-4101808)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-02-21
IRS object ID
201310529349300501
Schema version
2011v1.5
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)
Timestamp2013-02-21T08:01:46-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN161131146EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16 WEMBLEY COURTAddressLine1
CityALBANYCity
StateNYState
ZIP Code12205ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN264101808EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CAMPHILL HUDSON INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCAMPNameControl
Phone5183294851Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 WARREN STAddressLine1
CityHUDSONCity
StateNYState
ZIP Code12534ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAM BELLAMYName
TitleEXECUTIVE DIRECTORTitle
Phone5183294851Phone
Date Signed2013-02-21DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN C OLSENName
PTINP00321116PTIN
Phone5184644080Phone
Date Prepared2013-02-21DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAM BELLAMYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1360 WARREN STAddressLine1
CityHUDSONCity
StateNYState
ZIP Code12534ZIPCode
FieldValueIRS element (for citing)
Gross Receipts379846GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCAMPHILLHUDSON.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO CARE FOR ADULTS WITH SPECIAL NEEDS IN FAMILY HOMES, IN MEANINGFUL WORK OPTIONS, AND IN A RICH ARRAY OF SPIRITUAL, CULTURAL, EDUCATIONAL, AND ARTISTIC ACTIVITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year188468ProgramServiceRevenuePriorYear
Program Service Revenue CY369625ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year10221OtherRevenueCurrentYear
Total Revenue Prior Year188468TotalRevenuePriorYear
Total Revenue Current Year379846TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16559SalariesEtcPriorYear
Salaries Etc Current Year41621SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year173929OtherExpensePriorYear
Other Expenses Current Year284764OtherExpensesCurrentYear
Total Expenses Prior Year190488TotalExpensesPriorYear
Total Expenses Current Year326385TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2020RevenuesLessExpensesPriorYear
Revenues Less Expenses CY53461RevenuesLessExpensesCY
Total Assets BOY130948TotalAssetsBOY
Total Assets EOY194687TotalAssetsEOY
Total Liabilities BOY132968TotalLiabilitiesBOY
Total Liabilities EOY143246TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-2020NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY51441NetAssetsOrFundBalancesEOY
Mission DescriptionTO CARE FOR ADULTS WITH SPECIAL NEEDS IN FAMILY HOMES, IN MEANINGFUL WORK OPTIONS, AND IN A RICH ARRAY OF SPIRITUAL, CULTURAL, EDUCATIONAL, AND ARTISTIC ACTIVITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense290326Expense
Revenue379846Revenue
DescriptionRESIDENTIAL IRA PROGRAM - CAMPHILL HUDSON WORKS TO BUILD HEALTHY SOCIAL RELATIONSHIPS IN AN ENVIRONMENT DEDICATED TO PERSONAL AND SOCIAL HEALING, AND CARING FOR THE EARTH. OUR MISSION IS TO BUILD COMMUNITY WITH PEOPLE OF ALL ABILITIES THROUGH LIVING, LEARNING, WORKING, AND PLAYING WITH PEOPLE OF ALL AGES, RACES, ABILITIES, AND CREEDS. APPROXIMATELY 60 UNITS WERE SERVED IN THE IRA PROGRAM DURING THE FISCAL YEAR.Description
Total Program Service Expense290326TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2NumberOfEmployees
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALICIA TENNYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5183294851TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line184 CAMPHILL ROADAddressLine1
CityCOPAKECity
StateNYState
ZIP Code12516ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BOB NORRIS
PRESIDENT1.00XX000
LEE EDWARDS
VICE PRESIDENT1.00XX000
BILL VOGT
TREASURER1.00XX000
SABINE STEEN
SECRETARY1.00XX000
ELISABETH AMELN
ASSISTANT SECRETARY1.00XX000
RICHARD NEAL
MEMBER1.00X000
TIM PAHOLAK
MEMBER1.00X000
ALICIA TENNY
CFO40.00X012050020987
KAM BELLAMY
EXECUTIVE DIRECTOR40.00X1391972238953
FieldValueIRS element (for citing)
Total Reportable Comp From Org13919TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs127723TotalReportableCompFrmRltdOrgs
Total Other Compensation29940TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CAMPHILL VILLAGE USA INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line184 CAMPHILL ROADAddressLine1
CityCOPAKECity
StateNYState
ZIP Code12516ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADMIN. AND CARE SERVICESDescriptionOfServices
Compensation125725Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID623990313512313512
VILLAGER FEES6239905611356113
FieldValueIRS element (for citing)
Total Program Service Revenue369625TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code623990BusinessCode
Total Revenue Column10221TotalRevenueColumn
Related Or Exempt Function Income10221RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue10221TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column379846TotalRevenueColumn
Related Or Exempt Function Income379846RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total30095Total
Program Services25743ProgramServices
Management And General4352ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9225Total
Program Services1223ProgramServices
Management And General8002ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2301Total
Program Services1489ProgramServices
Management And General812ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6236Total
Management And General6236ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total140250Total
Program Services125967ProgramServices
Management And General14283ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7416Total
Program Services6490ProgramServices
Management And General926ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total35423Total
Program Services34642ProgramServices
Management And General781ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4437Total
Program Services4437ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5254Total
Program Services5254ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total6031Total
Program Services6031ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES3645736457
FUTURE NEEDS FUND86678667
REPAIRS & MAINTENANCE82138213
FURNITURE & EQUIPMENT76617661

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total18719Total
Program Services18052ProgramServices
Management And General667ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total326385Total
Program Services290326ProgramServices
Management And General36059ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY26288BOY
EOY34840EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY80890BOY
EOY116181EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49323LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5657LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23770BOY
EOY43666EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY130948BOY
EOY194687EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY40100BOY
EOY33803EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY1555EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY92868BOY
EOY107888EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY132968BOY
EOY143246EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-2020BOY
EOY51441EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-2020BOY
EOY51441EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY130948BOY
EOY194687EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses53461ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year152175CurrentTaxYearMinus1Year
Current Tax Year313512CurrentTaxYear
Total465687Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year152175CurrentTaxYearMinus1Year
Current Tax Year313512CurrentTaxYear
Total465687Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509465687PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year152175CurrentTaxYearMinus1Year
Current Tax Year313512CurrentTaxYear
Total465687Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis49323OtherCostOrOtherBasis
Depreciation5657Depreciation
Book Value43666BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings43666TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$107,888Amount
FieldValueIRS element (for citing)
Total Of Amounts107888TotalOfAmounts
Total Revenue379846TotalRevenue
Total Expenses326385TotalExpenses
Excess Or Deficit For Year53461ExcessOrDeficitForYear
Excess Or Deficit Per FS53461ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt379846TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal379846RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990379846TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt326385TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal326385ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990326385TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationPART X, LINE 2: FINANCIAL STATEMENT FOOTNOTE 2, INCOME TAXES, INCLUDES A DISCLOSURE RELATED TO UNCERTAIN TAX POSITIONS UNDER FIN 48. THE TEXT RELATED TO THHE ORGANIZATION'S LIABILITY IS AS FOLLOWS: FOR TAX EXEMPT ENTITIES, THEIR TAX EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEAPORDIZE THEIR TAX-EXEMPT STATUS. AS OF MARCH 31, 2012 AND 2011, THE ORGANIZATION DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6CAMPHILL VILLAGE USA, INC. IS THE SOLE CORPORATE MEMBER AND HAS THE RIGHT TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7ACAMPHILL VILLAGE USA, INC (EIN # 14-1463358) IS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 8BTHERE IS ONLY A BOARD OF DIRECTOR'S AND THEY DOCUMENT THE MEETINGS THAT ARE HELD.
FORM 990, PART VI, SECTION B, LINE 11THE AUDIT COMMITTEE REVIEWS THE 990. IT IS THEN PASSED ON TO THE CFO, AND EXECUTIVE DIRECTOR FOR REVIEW. THIS IS DONE EVERY TIME A FORM 990 IS GOING TO BE FILED.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO FILL OUT CONFLICT OF INTEREST FORMS ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15ASALARIES ARE DETERMINED BASED ON JOB DESCRIPTION, YEARS OF EXPERIENCE, AND YEARS OF EDUCATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION GIVES THE PUBLIC THE OPTION TO RECEIVE ANY GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS UPON REQUEST.
FORM 990, PART XI, LINE 2C:NO CHANGE FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CAMPHILL VILLAGE COPAKE FOUNDATION INC
84 CAMPHILL ROADCOPAKENY12516204565002FIN'L SUPPORT TO CAMPHILL VILLAGE USA & ITS PROGS FOR ADULTS W/ SPECIAL NEEDNY501(C)(3)LINE 11A, ICAMPHILL VILLAGE USA INC0
CAMPHILL GHENT INC
84 CAMPHILL ROADCOPAKENY12516270489223DEVELOPMENT OF AN ELDER CARE COMMUNITYNY501(C)(3)LINE 9CAMPHILL VILLAGE USA INC0
CAMPHILL VILLAGE USA INC
84 CAMPHILL ROADCOPAKENY12516141463358BUILD A STRONG COMMUNITY INCLUDING ADULTS WITH SPECIAL NEEDS.NY501(C)(3)LINE 90
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CAMPHILL VILLAGE COPAKE FOUNDATION INC
B8667
CAMPHILL VILLAGE USA INC
J28301
CAMPHILL VILLAGE USA INC
L125725
CAMPHILL VILLAGE USA INC
E81888
CAMPHILL VILLAGE COPAKE FOUNDATION INC
E26000

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