2013-11-15T14:59:24-07:00 2012-12-31 990 2012-01-01 222213294 JEWISH HOME OF CENTRAL NEW YORK RESIDENTIAL LIVING INCORPORATED JEWI 3154469111 4101 E Genesee Street Syracuse NY 13214 Robert Wood 3154469111 2013-11-15 2012 2016-03-07 17:11:31Z Mary Ellen Bloodgood 4101 E Genesee Street Syracuse NY 13214 1642853 0 X www.menorahparkcny.com X 2000 NY To provide independent senior housing 12 12 42 4 0 0 6658 177330 1595718 1454775 0 10748 0 0 1602376 1642853 0 0 0 0 604872 613188 0 0 0 1476951 1473041 2081823 2086229 -479447 -443376 2677611 2553907 4617963 4825953 -1940352 -2272046 To provide independent senior housing 0 0 1991847 1465523 To provide independent senior housing 0 0 0 1991847 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 42 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 NY X Mary Ellen Bloodgood 3154469111 4101 E Genesee Street Syracuse NY 13214 Michael Balanoff 1 0 X 0 0 0 Neil Bronstein 1 0 X 0 0 0 Andy Fox 1 0 X X 0 0 0 Joseph Greenman 1 0 X 0 0 0 Jon Maloff 1 0 X X 0 0 0 Gary Zausmer 1 0 X 0 0 0 Jeffry Berman 1 0 X 0 0 0 Phylis LaVine 1 0 X 0 0 0 Jeffry Scheer 1 0 X X 0 0 0 Jeffrey Meyer 1 0 X 0 0 0 Mark Schulman 1 0 X 0 0 0 Brice Smith 1 0 X 0 0 0 Mary Ellen Bloodgood 2 38 X 0 194485 5500 0 194485 5500 0 0 1 1 Sodexo Inc 9801 Washingtonian Bld Gaithersburg MD 20878 Dietary Service Contract 357899 1 0 0 0 0 0 177330 80000 177330 Rent 623000 1398564 1398564 0 0 All Other Operating Revenue 900099 56211 56211 0 0 0 0 0 0 1454775 10748 10748 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1642853 1465523 0 0 486076 447903 38173 0 9216 9216 0 0 82022 81541 481 0 35874 33334 2540 0 131 0 131 0 23228 0 23228 0 26828 26828 0 0 34550 34550 0 0 387265 387265 0 0 23263 23263 0 0 323878 323878 0 0 29829 0 29829 0 Dietary Service Contract 357899 357899 0 0 Bank LOC & refinancing fees 142680 142680 0 0 Linen Service 18157 18157 0 0 Purchased/Contract services 105333 105333 0 0 2086229 1991847 94382 0 35260 18854 5021 0 0 1882 31003 30292 7216362 5325672 2015891 1890690 590436 612189 2677611 2553907 393607 745093 3770000 3585000 0 454356 495860 4617963 4825953 X -2361219 -2722196 420867 450150 0 0 -1940352 -2272046 2677611 2553907 X -443376 0 0 0 0 111682 X 0 1 X 1 0 X 17799 7533 18460 6658 177330 227780 1973352 2022419 1827153 1595718 1454775 8873417 1991151 2029952 1845613 1602376 1632105 9101197 9101197 2668 0 0 0 10748 13416 2668 0 0 0 10748 13416 1993819 2029952 1845613 1602376 1642853 9114613 0.99853 0.99892 0.00147 0.00108 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 221791 221791 0 5918788 4449392 1469396 0 381982 376185 5797 0 554071 500095 53976 0 139730 0 139730 1890690 Beneficial Interest in Net Assets of JHCNY Foundation 450150 Deferred Financing Cost, net 157008 Deposits Held Trust 5031 612189 Deferred Revenue 15955 Deposits in in Trust 5031 Due to Affiliates 126963 Callable Portion - Unrealized Loss - Int Rate Swap 347911 495860 1642853 0 0 0 0 0 1642853 0 0 0 1642853 2086229 0 0 0 0 0 2086229 0 0 0 2086229 X 0 0 0 0 0 0 0 0 0 Mary Ellen Bloodgood 0 194485 0 0 0 5500 0 0 0 0 0 199985 F990_P06_S0A_L01a Form 990, Part VI, Section A, Line 1a The CEO is paid from an affiliate, Jewish Home of Central New York. A portion of the CEO compensation, 9,724, is allocated to this company (Residential Living). However, since the W-2 has not been issued by Residential Living, a zero has been entered on PArt VII, Section A, col (d) F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The 990 return is reviewed by members of the Finance Committee, and distributed to the Board before being filied with the IRS. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The conflict of interest policy is reviewed by the Board annually, and disclosure statements are signed. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The compensation of the CEO is reviewed by the Board of Directors. There is a five year contract, and performance is reviewed annually. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The governing documents, conflict of interest documents, and financial statements are available to the public in the Administration office, upon request. F990_P11_S00_L09 Form 990, Part XI, Line 9 Change in unrealized gain on interest rate swap = 82,399. Change in beneficial interest in net assets of JHCNY Foundation = 29,283 Total = 111,682