2013-02-15T10:23:49-06:00 2012-03-31 161131146 BONADIO & CO LLP 6 WEMBLEY COURT ALBANY NY 12205 990 2011-04-01 270489223 CAMPHILL GHENT INC CAMP 5183921014 2542 ROUTE 66 GHENT NY 12075 WILLIAM VOGT 5183921014 2013-02-06 1 TERRI CONRAD REGAN P00449706 5184644080 2013-02-06 2011 2016-03-07 17:11:31Z WILLIAM VOGT 2542 ROUTE 66 GHENT NY 12075 6448506 0 X WWW.CAMPHILLGHENT.ORG X 2009 NY CAMPHILL GHENT IS A RESIDENTIAL COMMUNITY FOR ELDERS WHO APPRECIATE LIVING INDEPENDENTLY WITHIN A LIVELY COMMUNITY, BUT WHO WOULD ALSO LIKE OCCASIONAL HELP WITH DAILY CHALLENGES, RANGING FROM HOUSEKEEPING AND COOKING TO MAINTAINANCE AND DRIVING SERVICES. THE MISSION IS INSPIRED BY THE TRADITIONS AND VALUES OF ANTHROPOSOPHY: TO CARE FOR, CELEBRATE, EMBRACE AND HONOR THE SPECIAL STRENGTHS AND NEEDS OF THOSE IN THEIR ELDER YEARS. 7 7 0 16 0 0 4435187 6288311 0 159533 200 662 0 0 4435387 6448506 0 0 0 0 46936 388225 0 0 66653 189155 1267245 236091 1655470 4199296 4793036 13964359 25439170 8088881 14770656 5875478 10668514 X CAMPHILL GHENT IS A RESIDENTIAL COMMUNITY FOR ELDERS WHO APPRECIATE LIVING INDEPENDENTLY WITHIN A LIVELY COMMUNITY, BUT WHO WOULD ALSO LIKE OCCASIONAL HELP WITH DAILY CHALLENGES, RANGING FROM HOUSEKEEPING AND COOKING TO MAINTAINANCE AND DRIVING SERVICES. THE MISSION IS INSPIRED BY THE TRADITIONS AND VALUES OF ANTHROPOSOPHY: TO CARE FOR, CELEBRATE, EMBRACE AND HONOR THE SPECIAL STRENGTHS AND NEEDS OF THOSE IN THEIR ELDER YEARS. 1 0 849670 146098 INDEPENDENT LIVING - RESIDENTIAL COMMUNITY SETTING WITH VARYING SUPPORT FOR SENIORS AS THEY AGE. 22 INDIVIDUALS MOVED INTO AND LIVED IN THE COMMUNITY DURING THE YEAR. 566930 13435 ADULT HOME - RESIDENTIAL COMMUNITY SETTING WITH VARYING SUPPORT FOR SENIORS AS THEY AGE. 7 INDIVIDUALS MOVED INTO AND LIVED IN THE COMMUNITY DURING THE YEAR. 1416600 1 1 0 1 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 29 0 1 0 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 NY X X ALICIA TENNY CFO 5183294851 84 CAMPHILL RD COPAKE NY 12516 WILLIAM H VOGT 5.00 X X 0 0 0 CHRISTINE FISH-ACKER 1.00 X X 0 0 0 ROBERT G NORRIS 1.00 X 0 0 0 ELVIRA NEAL 1.00 X 0 0 0 JEAN YEAGER 1.00 X 0 0 0 GABRIELLA SPERRY 1.00 X 0 0 0 RICK BIANCHI 1.00 X X 0 0 0 SIR JOHN F BARING 40.00 X 0 0 0 ALICIA TENNY 18.00 X 0 120500 20987 0 120500 20987 0 0 0 0 LECESSE CONSTRUCTION SERVICES 75 THRUWAY PARK DRIVE WEST HENRIETTA NY 14586 CONSTRUCTION 12967852 CAMPHILL VILLAGE 84 CAMPHILL ROAD COPAKE NY 12516 ADMINISTRATIVE AND CARE SERVICES 144728 CRAWFORD AND ASSOCIATES 551 WARREN STREET SUITE 301 HUDSON NY 12534 ENGINEERING/ARCHITECTURE 120441 MANATT PHELPS PHILLIPS 7 TIMES SQUARE NEW YORK NY 10036 LEGAL 118896 4 1069935 5198361 20015 6288311 RENTAL INCOME 623990 138482 138482 MEDICAID INCOME 623990 12897 12897 MISCELLANEOUS 900099 8154 8154 159533 662 662 6448506 159533 0 662 288823 187735 60653 40435 72316 47006 15186 10124 27086 17606 5688 3792 28531 28531 10750 4840 5910 72249 72249 89848 89848 23428 10130 5200 8098 80907 65948 14959 73389 61943 11446 25701 21497 4204 59327 59327 159442 159442 53175 53175 FURNITURE 339604 339604 CO-WORKER EXPENSES 118321 118321 REPAIRS AND MAINTENANCE 68205 68205 FOOD 36340 36340 28028 28028 1655470 1416600 172217 66653 1915082 1282466 641236 616518 865494 7658 36306 22209028 148851 9944243 22060177 1456140 578209 13964359 25439170 1886881 763163 927493 202000 5100000 6000000 7980000 8088881 14770656 X 5875478 10668514 5875478 10668514 13964359 25439170 4793036 0 X X 0 1 1 X 0 X 520 8779 1089950 1099249 159533 159533 520 8779 1249483 1258782 0 0 0 1258782 200 662 862 200 662 862 520 8979 1250145 1259644 0.99930 0.97890 0.00070 0.02110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 72249 0 0 72249 0 1 1 1725803 1725803 20354166 141348 20212818 129059 7503 121556 22060177 LOAN PAYABLE - RELATED PARTY 7980000 7980000 6448506 1655470 4793036 4793036 6448506 0 6448506 0 6448506 1655470 0 1655470 0 1655470 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FINANCIAL STATEMENT FOOTNOTE 2, INCOME TAXES, INCLUDES A DISCLOSURE RELATED TO UNCERTAIN TAX POSITIONS UNDER FIN 48. THE TEXT RELATED TO THE 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 JEOPARDIZE 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 EXEMPT ORGANIZATION RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE ORGANIZATIONS FEDERAL AND STATE TAX EXEMPT ORGANIZATION RETURNS ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE FISCAL YEARS ENDED MARCH 31, 2012, 2011, AND 2010. COLUMBIA COUNTY CAPITAL RESOURCE CORPORATION 271072117 197409AA3 2010-12-29 5100000 FINANCE THE CONSTRUCTION OF ELDER CARE COMMUNITY FACILITIES 0 0 0 5100000 312000 102000 4686000 2012 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 THIS IS THE FIRST YEAR OF OPERATIONS FOR THE INDEPENDENT LIVING AND ADULT HOME PROGRAMS THAT ARE DESCRIBED IN THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. FORM 990, PART VI, SECTION A, LINE 6 CAMPHILL VILLAGE USA (#14-1463358) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A CAMPHILL VILLAGE USA (#14-1463358) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION AND HAS THE RIGHT TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER SHALL APPROVE THE FOLLOWING ACTIONS: CHANGE IN CORPORATE PURPOSES; AMEND, RESTATE OR REPEAL THE BY-LAWS; APPROVE ANY MERGER, CONSOLIDATION, CONVERSION OR DISSOLUTION; FILING OF A PETITION IN BANKRUPTCY OR EXECUTION OF AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS; APPROVE THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; APPROVE THE ACQUISITION, SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER TRANSFER OR CONVEYANCE OF ANY REAL PROPERTY OF THE CORPORATION; APPROVE THE ACQUISITION, SALE, LEASE, EXCHANGE OR OTHER TRANSFER OR CONVEYANCE OF PERSONAL PROPERTY HAVING A VALUE IN EXCESS OF $50,000 OR MORTGAGE OR PLEDGE OF, OR CREATION OF A SECURITY INTEREST IN, ALL OR ANY PART OF THE CORPORATION'S PERSONAL PROPERTY OR INTEREST THEREIN; APPROVE THE STRATEGIC PLAN; APPROVE ANY BOND ISSUANCE OR OTHER INDEBTEDNESS FOR BORROWED MONEY OR ANY LENDING OF FUNDS BY THE CORPORATION TO AN UNRELATED PERSON, CORPORATION OR OTHER LEGAL ENTITY, INCLUDING ANY CAPITAL LEASES REPRESENTING OBLIGATIONS IN EXCESS OF $5,000; APPROVE PROPOSED SETTLEMENTS OF LITIGATION WHEN SUCH SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNTS RESERVED IN RESPECT THEREOF OF ANY APPLICABLE SELF-INSURANCE FUND; APPROVE ANY CORPORATE REORGANIZATION OR ESTABLISHMENT OR DISSOLUTION OF ANY SUBSIDIARY; AND APPROVE OR DIRECT THE TAKING OF ANY OTHER ACTION OUTSIDE THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT COMMITTEE REVIEWS THE 990. IT IS THEN PASSED ON TO THE TREASURER, ASSISTANT EXECUTIVE DIRECTOR, 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 12C ALL MEMBERS OF THE BOARD ARE REQUIRED TO ANNUALLY EXECUTE A CONFLICT OF INTEREST DOCUMENT WHICH STATES THAT THEY HAVE RECEIVED, READ AND UNDERSTAND, AND AGREE TO COMPLY WITH THE CONFLICT OF INTEREST GUIDELINES. GENERALLY, THE SAME DOCUMENT REQUIRES BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY. THE CHAIRPERSON OF THE BOARD WILL, UPON NOTIFICATION OF SUCH AN EVENT, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY CAN RESULT IN APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. ALSO, ALL BOARD MEMBERS, BY EXECUTING THE CONFLICT OF INTEREST DOCUMENT, ACKNOWLEDGE THAT THEY SHARE THE RESPONSIBILITY OF THE ORGANIZATION TO REMAIN FAITHFUL TO ITS CHARITABLE PURPOSES. FORM 990, PART VI, SECTION B, LINE 15B THE CEO/EXECUTIVE DIRECTOR IS NOT PAID. SALARY FOR THE CFO IS DETERMINED BASED ON JOB DESCRIPTION, YEARS OF EXPERIENCE, AND YEARS OF EDUCATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION GIVES THE PUBLIC THE OPTION TO RECEIVE ANY GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY, OR FINANCIALS UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. CAMPHILL VILLAGE USA INC 84 CAMPHILL ROAD COPAKE NY 12516 141463358 TRAINING AND HOUSING OF ADULTS WITH SPECIAL NEEDS NY 501(C)(3) LINE 9 0 CAMPHILL VILLAGE COPAKE FOUNDATION INC 84 CAMPHILL ROAD COPAKE NY 12516 204565002 FIN'L SUPPORT TO CAMPHILL VILLAGE USA & ITS PROGS FOR ADULTS W/SPECIAL NEEDS NY 501(C)(3) LINE 11A, I CAMPHILL VILLAGE USA INC 0 CAMPHILL HUDSON INC 84 CAMPHILL ROAD COPAKE NY 12516 264101808 PROVIDE SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES NY 501(C)(3) LINE 9 CAMPHILL VILLAGE COPAKE FOUNDATION INC 0 0 0 1 0 1 0 0 0 0 0 1 1 0 1 1 0 0 1 CAMPHILL VILLAGE COPAKE FOUNDATION INC E 7980000 CAMPHILL VILLAGE COPAKE FOUNDATION INC C 1069935 CAMPHILL VILLAGE COPAKE FOUNDATION INC (GUARANTEE) E 5100000 CAMPHILL VILLAGE USA INC E 159306 CAMPHILL VILLAGE USA INC D 154778 CAMPHILL VILLAGE COPAKE FOUNDATION INC K 53516 CAMPHILL VILLAGE USA INC L 73865