2013-08-14T08:53:11-05:00 2012-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2011-10-01 205096169 SEABURY AT HOME INCORPORATED SEAB 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 ROBERT STANWOOD 8602860243 2013-08-13 1 ELIZABETH SOLECKI P00235171 8605614000 2011 2016-02-24 21:20:13Z ROBERT STANWOOD 200 SEABURY DRIVE BLOOMFIELD CT 060022650 855728 0 X N/A X 2006 CT TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY. 10 10 0 0 0 0 0 0 345089 647800 1090 1127 15507 206801 361686 855728 0 0 0 0 0 0 0 0 0 672894 721280 672894 721280 -311208 134448 3938350 5622563 4798119 6347883 -859769 -725320 TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY. 0 0 573510 830892 TO PROVIDE, SPONSOR, INITIATE, DEVELOP, OPERATE AND MAINTAIN FACILITIES AND PROGRAMS FOR THE DELIVERY OF HEALTH CARE, PERSONAL CARE AND SUPPORT SERVICES TO THE ELDERLY DESIGNED TO PROMOTE AND EXTEND OPPORTUNITIES FOR INDEPENDENT LIVING AND PERSONAL HEALTH. 573510 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 X STEVEN YANOFSKY CHURCH HOME VP FIN 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 X REV PAUL R BRIGGS II 0.30 X 0 0 0 DR H DAVID CROMBIE 0.30 X 0 0 0 DR DONNA R GALLUZZO 0.30 X 0 0 0 WINIFRED GRANGER 0.30 X 0 0 0 DONALD F HARRIS JR 0.30 X 0 0 0 A RAYMOND MADORIN 0.30 X 0 0 0 REV JEFFREY S DUGAN 0.30 X X 0 0 0 REV BORDEN W PAINTER JR 0.30 X X 0 0 0 ROBERT STANWOOD 0.30 X X 0 0 0 RAYMOND PAYNE 0.30 X X 0 0 0 RICHARD HEATH 0.30 X 0 0 0 0 0 0 0 0 0 0 CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DR BLOOMFIELD CT 06002 CONTRACTED STAFFING 295210 1 HOME HEALTH SERV. FEES 621610 517305 517305 AMORT OF ENTRANCE FEES 621610 130495 130495 647800 1127 1127 23709 0 23709 23709 23709 CHANGE IN FUTURE SVC 900099 157916 157916 MISCELLANEOUS 900099 25176 25176 183092 855728 830892 0 24836 851 851 5950 5950 133202 133202 5926 2963 2963 6578 6578 37919 37919 3471 3471 CONTRACTED SERVICES 481433 481433 MISCELLANEOUS 12735 12735 TAXES AND LICENSES 11183 11183 TELEPHONE 4749 4749 17283 17228 55 721280 573510 147770 0 2538911 3813203 466836 880414 3796 3308 1021626 95988 928807 925638 3938350 5622563 69836 123217 4728283 6224666 4798119 6347883 X -859769 -725320 -859769 -725320 3938350 5622563 134448 0 X 0 1 1 X 0 X 37005 172813 345089 830892 1385799 37005 172813 345089 830892 1385799 0 0 0 1385799 836 756 1090 24836 27518 836 756 1090 24836 27518 1391 33175 15507 50073 39232 206744 361686 855728 1463390 0.94700 0.91320 0.01880 0.00440 X 315692 315692 526685 88649 438036 28111 7339 20772 151138 151138 925638 DEFERRED REVENUE FROM ENTRANCE FEES 4327336 FUTURE SERVICE OBLIGATION 94903 LOAN PAYABLE TO RELATED PARTY 1802427 6224666 855728 721280 134448 134448 697812 0 697812 157916 157916 855728 563363 -157917 -157917 721280 0 721280 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN FUTURE SERVICE OBLIGATIONS 157,916. PART XIII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FUTURE SERVICE OBLIGATIONS -157,916. ROUNDING -1. FORM 990, PART VI, SECTION A, LINE 6 CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. FORM 990, PART VI, SECTION A, LINE 7A CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. AS MEMBERS, THEY ELECT THE BOARD OF DIRECTORS FOR SEABURY AT HOME INCORPORATED. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BYLAWS AND ARTICLES MUST BE APPROVED BY MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AFTER FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REVIEWING THE POLICY AT ORIENTATION AND AT MEETINGS THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE VICE PRESIDENT/CEO IS COMPENSATED BY CHURCH HOME OF HARTFORD, INCORPORATED, THEREFORE, HIS COMPENSATION IS DETERMINED BY THE BOARD OF CHURCH HOME OF HARTFORD. COMPENSATION IS DETERMINED USING A REVIEW OF LIKE ORGANIZATIONS, 990 REPORT FOR TOP PAID EMPLOYEES, AND USE OF ASSOCIATION WAGE SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE DOCUMENTS ARE RETAINED IN SEABURY'S LIBRARY. CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 060293500 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY CT 501(C)3 509(A)(2) 0 SEABURY MEMORY CARE CENTER INC 200 SEABURY DRIVE BLOOMFIELD CT 06002 200158017 PROVIDE HOUSING AND HEALTH SERVICES TO ALZHEIMER'S PATIENTS CT 501(C)3 509(A)(2) 0 SEABURY CHARITABLE FOUNDATIONINC 200 SEABURY DRIVE BLOOMFIELD CT 06002 061458630 TO PROVIDE SUPPORT TO CHURCH HOME OF HARTFORD CT 501(C)3 509(A)(3) - TYPE I 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0