2013-08-14T11:12:07-05:00 2012-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2012-01-01 200670083 CEDARBROOK VILLAGE INCORPORATED CEDA 3157973114 2050 TILDEN AVE NEW HARTFORD NY 134133630 CHRISTA SERAFIN 3157973114 2013-08-08 1 JOSEPH J SCHLEGEL P00301329 3154463600 2012 2016-02-24 21:20:13Z CHRISTA SERAFIN 2050 TILDEN AVE NEW HARTFORD NY 134133630 1859809 0 X WWW.SITRIN.COM X 2004 NY SENIOR ENRICHED HOUSING AND ASSISTED LIVING PROGRAM. THE FACILIITY OPENED IN FEBRUARY 2009. 7 6 62 0 0 0 150 0 1796604 1833633 638 817 22815 25182 1820207 1859632 0 0 0 0 830195 903476 0 0 0 911804 912417 1741999 1815893 78208 43739 8504804 8225170 4645127 4321132 3859677 3904038 CEDARBROOK IS A LICENSED ASSISTED LIVING PROVIDER REGULATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. CEDARBROOK IS AFFILIATED WITH SITRIN HEALTH CARE CENTER. 0 0 1673703 1858638 CEDARBROOK'S FIRST TENANTS MOVED IN IN FEBRUARY 2009. CEDARBROOK PROVIDES VARIOUS LEVELS OF CARE TO INDIVIDUALS 62 YEARS OF AGE AND OLDER SO THAT THEY MAY LIVE INDEPENDENTLY WITH SUPPORT SERVICES AVAILABLE AS THEIR NEEDS CHANGE.IN 2012, CEDARBROOK'S TOTAL RESIDENT DAYS WERE 18,758 WITH A TOTAL OF 79 SENIORS SERVED. 1673703 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 62 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JULIANNE CARDONE 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 X SHERRY GOLDSTONE 0.50 X 0 0 0 MARSHA SILVERMAN 0.50 X 0 0 0 ELLIE POLLICOVE 0.50 X 0 0 0 EDWARD KOWALSKY 2.00 X X 0 0 0 MICHAEL COMINSKY 2.00 X X 0 0 0 DR SUSAN BLATT 2.00 X X 0 60000 0 NEIL COHEN 2.00 X X 0 0 0 RICHARD WILSON 0.00 37.50 X 0 297850 5520 CHRISTA SERAFIN 0.00 37.50 X 0 129504 13800 0 487354 19320 0 0 1 0 0 RESIDENT SERVICES 623311 1813998 1813998 APPLICATION REVENUE 623311 9230 9230 GUEST MEALS 623311 4935 4935 GUEST ROOM REVENUE 623311 4420 4420 GARAGE RENTAL 623311 1050 1050 1833633 994 994 177 -177 -177 -177 CABLE REVENUE 623311 14910 14910 FORFEITED SECURITY DEP 623311 8543 8543 MISCELLANEOUS 623311 335 335 1394 1394 25182 1859632 1858638 0 994 740741 632717 108024 9901 7665 2236 98989 82309 16680 53845 46562 7283 54000 54000 7967 7967 10511 10511 8909 8909 255254 255254 8331 8331 390115 390115 FOOD/BEVERAGE EXPENSE 117164 117164 HOUSEKEEPING & LAUNDRY 15775 15775 REPAIRS & MAINTENANCE E 15266 15266 DURABLE/DISPOSABLE DIET 10029 10029 19096 19096 1815893 1673703 142190 0 123701 177871 427038 423043 41587 63841 128659 148911 6289 7005 13820 7992 8803287 1536668 7641765 7266619 121945 129888 8504804 8225170 66125 107470 2885000 2830000 1694002 1383662 4645127 4321132 X 3859677 3904038 3859677 3904038 8504804 8225170 X 43739 622 X 0 1 X 1 0 X 30000 225960 50000 150 306110 500 903112 1625228 1796604 1833633 6159077 30500 1129072 1675228 1796754 1833633 6465187 0 0 0 6465187 113 114 61 638 994 1920 113 114 61 638 994 1920 8484 23350 22815 25182 79831 30613 1137670 1698639 1820207 1859809 6546938 0.98750 0.99400 0.00030 0.00010 X 12660 12660 8277334 1303832 6973502 501530 223103 278427 11763 9733 2030 7266619 CASH HELD IN TRUST FOR RESIDENTS 4658 SECURITY DEPOSITS FROM RESIDENTS 107101 INTEREST RATE SWAP LIABILITY 381903 NOTE PAYABLE - CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 890000 1383662 X 1859632 0 1859632 0 1859632 1815893 0 1815893 0 1815893 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: CEDARBROOK IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2008 THROUGH 2012. X 1 1 X X 0 0 0 0 0 0 0 0 0 RICHARD WILSON 0 249880 0 44000 0 3970 0 0 0 5520 0 303370 0 0 A ONEIDA COUNTY INDUSTRIAL DEVELOPMENT AGENCY 090210781 682465CD9 2007-06-28 3000000 TO CONSTRUCT ENRICHED HOUSING ASSISTED LIVING APARTMENTS 0 0 0 A 3105333 169177 93146 23031 2819979 2009 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 1 1 FIRST NIAGARA BANK 10.000000000000 0 0 0 0 0 PART I LINE A, PART II LINE 3 THE DIFFERENCE BETWEEN PART I'S LISTED ISSUE PRICE OF $3,000,000 AND PART II'S, LINE 3, TOTAL PROCEEDS OF ISSUE, IS THE RESULT OF INVESTMENT EARNINGS ON THE PROCEEDS DURING THE CONSTRUCTION PHASE OF THE PROJECT. ALL EARNINGS WERE SPENT ON THE PROJECT AS SHOWN IN PART II, LINES 5-12. FORM 990, PART VI, SECTION A, LINE 6 THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. IS THE SOLE MEMBER OF CEDARBROOK VILLAGE INCORPORATED. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. APPOINTS THE BOARD OF DIRECTORS OF CEDARBROOK VILLAGE INCORPORATED. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD MEMBERS REVIEWED THE 990 PRIOR TO SUBMISSION AT THE AUGUST 2013 BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO UPDATE AND RE-SIGN THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS COLLECTIVELY REVIEWS AND APPROVES THE CEO'S SALARY AND BENEFITS. COMPARATIVE DATA FROM OTHER LIKE ORGANIZATIONS IS USED. THIS MEETING IS DOCUMENTED THROUGH EXECUTIVE SESSION MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 ALL OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC. COPIES WILL BE PROVIDED UPON REQUEST. FORM 990, PAGE 7, PART VII THE FOLLOWING OFFICERS ARE ALSO OFFICERS OF RELATED ENTITY, CHARLES T. SITRIN HEALTH CARE CENTER, INC.: -RICHARD WILSON -CHRISTA SERAFIN CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 622. CHARLES T SITRIN HEALTH CARE CENTER INC 2050 TILDEN AVE NEW HARTFORD NY 13413 223100745 SKILLED NURSING/OUTPATIENT REHAB FACILITY NY 501(C)3 LINE 9 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 2050 TILDEN AVE NEW HARTFORD NY 13413 150543936 SOLE MEMBER OF OTHER CORPORATIONS NY 501(C)3 LINE 7 N/A 0 GEORGIAN COURT ESTATES SENIOR HOUSING CORP 2050 TILDEN AVE NEW HARTFORD NY 13413 204288247 SENIOR HOUSING NY 501(C)3 LINE 9 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 GAN KAVOD INC PO BOX 634 NEW HARTFORD NY 13413 223032483 INTERMEDIATE CARE FACILITY & INDIVIDUALIZED RESIDENTIAL ALTERNATIVE NY 501(C)3 LINE 9 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 SITRIN CHILD DAY CARE FACILITY INC 3 KAVOD ROAD NEW HARTFORD NY 13413 161484534 CHILD DAY CARE CENTER NY 501(C)3 LINE 9 CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 SITRIN FOUNDATION INC 2050 TILDEN AVE NEW HARTFORD NY 13413 300098393 FOUNDATION NY 501(C)3 LINE 11A, I CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0