FURP.ORG / PUBLIC DATA EXPLORER

GREENCROFT MIDDLEBURY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GREENCROFT MIDDLEBURY INC (EIN 30-0036865)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201331349349303103
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)
Timestamp2013-05-14T11:23:00-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 307AddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code480370307ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN300036865EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GREENCROFT MIDDLEBURY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGREENameControl
Phone5745374000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 819AddressLine1
CityGOSHENCity
StateINState
ZIP Code46527ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDALE SHENKName
TitleTREASURERTitle
Phone5745374000Phone
Date Signed2013-04-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN MIENCIERName
PTINP00842339PTIN
Phone2483522500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL WOLFERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11721 GREENCROFT BLVDAddressLine1
CityGOSHENCity
StateINState
ZIP Code46526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts359635GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GREENCROFT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionGREENCROFT MIDDLEBURY PROVIDES ACTIVE, AFFORDABLE RETIREMENT LIVING IN HOMES WITH SUPPORTIVE SERVICES. SERVICES PROVIDED TO RESIDENTS AND THE BROADER MIDDLEBURY COMMUNITY AT REDUCED OR NO COST AMOUNTED TO $84,141 FOR FYE JUNE 30, 2012.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1042812ContributionsGrantsPriorYear
Contributions Grants Current Year31150ContributionsGrantsCurrentYear
Program Service Revenue Prior Year400496ProgramServiceRevenuePriorYear
Program Service Revenue CY318082ProgramServiceRevenueCY
Investment Income Prior Year1476InvestmentIncomePriorYear
Investment Income Current Year312InvestmentIncomeCurrentYear
Other Revenue Prior Year2570OtherRevenuePriorYear
Other Revenue Current Year10091OtherRevenueCurrentYear
Total Revenue Prior Year1447354TotalRevenuePriorYear
Total Revenue Current Year359635TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15590GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8775GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year41418SalariesEtcPriorYear
Salaries Etc Current Year42558SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year536849OtherExpensePriorYear
Other Expenses Current Year538080OtherExpensesCurrentYear
Total Expenses Prior Year593857TotalExpensesPriorYear
Total Expenses Current Year589413TotalExpensesCurrentYear
Revenues Less Expenses Prior Year853497RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-229778RevenuesLessExpensesCY
Total Assets BOY7358491TotalAssetsBOY
Total Assets EOY7100085TotalAssetsEOY
Total Liabilities BOY6930039TotalLiabilitiesBOY
Total Liabilities EOY6901411TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY428452NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY198674NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF GREENCROFT MIDDLEBURY IS TO PROVIDE ACTIVE, AFFORDABLE RETIREMENT LIVING IN HOMES WITH SUPPORTIVE SERVICES, ASSISTED LIVING, AND SKILLED NURSING. EACH YEAR THE ORGANIZATION STRIVES TO BE A GOOD NEIGHBOR IN THE COMMUNITY WHERE WE SERVE. WE HAVE A HISTORY OF ADDING VALUE TO OUR RESIDENTS, TO SENIORS LIVING OUTSIDE OF OUR COMMUNITY, AND TO THE BROADER COMMUNITY WE SERVE. WE STRIVE TO IMPROVE THE QUALITY OF CARE BY CELEBRATING THE LIVES OF THE SENIORS LIVING IN OUR COMMUNITY AND WORKING WITH THEM TO ENSURE THEY HAVE OPPORTUNITIES TO LIVE LIFE OUT TO THE FULLEST AND WORK TOGETHER TO ADDRESS THE CHALLENGES OF AGING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense484793Expense
Grants8775Grants
Revenue318082Revenue
DescriptionGREENCROFT MIDDLEBURY IS A NON-PROFIT COMMUNITY BENEFIT CORPORATION THAT PROVIDES INDEPENDENT LIVING SERVICES TO 37 RESIDENTS ON A 23-ACRE CAMPUS. ASSISTED LIVING AND HEALTHCARE NURSING SERVICES ARE AVAILABLE VIA A CONTRACT BETWEEN GREENCROFT MIDDLEBURY AND GREENCROFT GOSHEN. SUPPORTING SERVICES FOR RESIDENTS AND OTHER AREA SENIORS ARE PROVIDED THROUGH THE GREENCROFT MIDDLEBURY SENIOR CENTER ON CAMPUS. DURING THE YEAR ENDED JUNE 30, 2012, OVER 23% OF TOTAL REVENUES WERE USED TO PROVIDE COMMUNITY BENEFITS IN THE FORM OF REDUCED/FREE SENIOR CENTER SERVICES. IN ADDITION, RESIDENTS WHO DO NOT MISUSE THEIR ASSETS MAY BE ELIGIBLE FOR SUPPORT FROM GREENCROFT MIDDLEBURY IF THEIR ASSETS RUN OUT.Description
Total Program Service Expense484793TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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 Organizations1GrantsToOrganizations
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 Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DALE SHENKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5745374000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11721 GREENCROFT BLVDAddressLine1
CityGOSHENCity
StateINState
ZIP Code46527ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CHUCK OWENS
CHAIR1.00XX000
SHERMAN W HANSEN
CHAIR - PARTIAL YEAR1.00XX000
BOB HAWKINS
BOARD MEMBER1.00X000
JERRY BEASLEY
BOARD MEMBER1.00X000
AMY FLORIA
BOARD MEMBER1.00X000
DR G WELDON FRIESEN
BOARD MEMBER1.00X000
HARRIET GREEN
BOARD MEMBER1.00X000
ROSEALENE LONG
BOARD MEMBER1.00X000
HARLEY TROYER
BOARD MEMBER1.00X000
DON WEIRICH
BOARD MEMBER1.00X000
KENT YODER
BOARD MEMBER - PARTIAL YEAR1.00X000
DANA SNIDER
BOARD MEMBER - PARTIAL YEAR1.00X000
DANIEL WOLFER
PRESIDENT40.00X04577819863
DALE SHENK
TREASURER1.00X010872037720
TANE ADAMS
SECRETARY1.00X04386218205
PATRICIA FORD
SECRETARY - PARTIAL YEAR1.00X0499549322
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs248314TotalReportableCompFrmRltdOrgs
Total Other Compensation85110TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations31150RelatedOrganizations
Total Contributions31150TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET RESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column318082TotalRevenueColumn
Related Or Exempt Function Income318082RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue318082TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column312TotalRevenueColumn
Exclusion$312ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MAINTENANCE INCOME81100010050$10,050
MISCELLANEOUS INCOME90009941$41
FieldValueIRS element (for citing)
Total Other Revenue10091TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column359635TotalRevenueColumn
Related Or Exempt Function Income318082RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$10,403ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8775Total
Program Services8775ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total36574Total
Program Services27431ProgramServices
Management And General9143ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3464Total
Program Services2598ProgramServices
Management And General866ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2520Total
Program Services1890ProgramServices
Management And General630ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total16405Total
Management And General16405ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4942Total
Management And General4942ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total70775Total
Program Services14155ProgramServices
Management And General56620ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total27003Total
Program Services27003ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12852Total
Program Services6045ProgramServices
Management And General6807ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total91536Total
Program Services91536ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total778Total
Management And General778ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1233Total
Management And General1233ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total15000Total
Program Services15000ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total203458Total
Program Services203458ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3220Total
Management And General3220ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FACILITY MAINTENANCE8620186201
SMALL EQUIPMENT31604742686
DUES, LICENSES, & SUBS.13682051163
VOLUNTEER RECOGNITION34529

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total115Total
Program Services17ProgramServices
Management And General98ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total589413Total
Program Services484793ProgramServices
Management And General104620ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY175BOY
EOY175EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY229752BOY
EOY13302EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2913BOY
EOY152EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1897BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8156942LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1070486LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7123754BOY
EOY7086456EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7358491BOY
EOY7100085EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11545BOY
EOY7557EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1759127BOY
EOY1804828EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5159367BOY
EOY5089026EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6930039BOY
EOY6901411EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY428452BOY
EOY198674EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY428452BOY
EOY198674EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7358491BOY
EOY7100085EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-229778ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years90116CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1042812CurrentTaxYearMinus1Year
Current Tax Year31150CurrentTaxYear
Total1164078Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years419333CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years404597CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years413687CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year400496CurrentTaxYearMinus1Year
Current Tax Year318082CurrentTaxYear
Total1956195Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11171CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6255CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2766CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1934CurrentTaxYearMinus1Year
Current Tax Year10050CurrentTaxYear
Total32176Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years430504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years410852CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years506569CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1445242CurrentTaxYearMinus1Year
Current Tax Year359282CurrentTaxYear
Total3152449Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year1008537CurrentTaxYearMinus1Year
Total1008537Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years196920CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92675CurrentTaxYearMinus2Years
Current Tax Year136626CurrentTaxYear
Total426221Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years196920CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92675CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1008537CurrentTaxYearMinus1Year
Current Tax Year136626CurrentTaxYear
Total1434758Total
FieldValueIRS element (for citing)
Public Support Total5091717691PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7361CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1476CurrentTaxYearMinus1Year
Current Tax Year312CurrentTaxYear
Total28123Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7361CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1476CurrentTaxYearMinus1Year
Current Tax Year312CurrentTaxYear
Total28123Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1858CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years120CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year636CurrentTaxYearMinus1Year
Current Tax Year41CurrentTaxYear
Total2657Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years447982CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years418333CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years509925CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1447354CurrentTaxYearMinus1Year
Current Tax Year359635CurrentTaxYear
Total3183229Total
FieldValueIRS element (for citing)
Public Support Percentage5090.53960PublicSupportPercentage509
Prior Year Support Percentage0.67840PriorYearSupportPercentage
Investment Income Percentage0.00880InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01060PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOMEGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance77251BeginningOfYearBalance
Investment Earnings Or Losses-620InvestmentEarningsOrLosses
End Of Year Balance76631EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance65095BeginningOfYearBalance
Investment Earnings Or Losses12156InvestmentEarningsOrLosses
End Of Year Balance77251EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance54105BeginningOfYearBalance
Contributions8472Contributions
Investment Earnings Or Losses2608InvestmentEarningsOrLosses
End Of Year Balance65095EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance62758BeginningOfYearBalance
Investment Earnings Or Losses-8743InvestmentEarningsOrLosses
End Of Year Balance54015EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.62290BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.34980PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02730TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis659072OtherCostOrOtherBasis
Book Value659072BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4968419OtherCostOrOtherBasis
Depreciation727877Depreciation
Book Value4240542BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2463215OtherCostOrOtherBasis
Depreciation310025Depreciation
Book Value2153190BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64455OtherCostOrOtherBasis
Depreciation32584Depreciation
Book Value31871BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1781OtherCostOrOtherBasis
Book Value1781BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7086456TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
LIFE LEASE NOTES PAYABLE$2,079,137
DUE TO AFFILIATES$3,009,889
FieldValueIRS element (for citing)
Total Of Amounts5089026TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:ENDOWMENT FUNDS ARE HELD BY GREENCROFT COMMUNITIES FOUNDATION INC. FOR THE BENEFIT OF GREENCROFT MIDDLEBURY, INC. GREENCROFT COMMUNITIES FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PERPETUAL SOURCE OF SUPPORT TO PROGRAMS SUPPORTED BY ITS ENDOWMENTS WHILE SEEKING TO PRESERVE THE PURCHASING POWER OF THE ENDOWMENT ASSETS. THE PURPOSE OF THE ENDOWMENTS IS TO PROVIDE SUPPORT FOR THE CHARITABLE PROGRAMS OF GREENCROFT MIDDLEBURY, INC.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE INTERNAL REVENUE SERVICE HAS RULED THAT THE ORGANIZATIONS COMPRISING GREENCROFT RETIREMENT COMMUNITIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS BEEN DETERMINED TO BE A PUBLICLY SUPPORTED ORGANIZATION AND NOT A PRIVATE FOUNDATION. ACCORDINGLY, THE ORGANIZATION'S NET INVESTMENT INCOME IS NOT SUBJECT TO EXCISE TAX AND GIFTS MADE TO THE ORGANIZATION ARE DEDUCTIBLE ON THE PART OF DONORS, SUBJECT TO SPECIFIED LIMITATIONS FOR CHARITABLE CONTRIBUTIONS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2009.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREENCORFT COMMUNITIES FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 819AddressLine1
CityGOSHENCity
StateINState
ZIP Code46527ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient237126990EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant8775AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantTO SUPPORT OPERATIONSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION MAKES GRANTS TO RELATED ORGANIZATIONS. GRANTS MADE ARE UNRESTRICTED AND CAN BE USED IN ANY WAY THE RECIPIENT SEES FIT TO FURTHER ITS TAX-EXEMPT PURPOSE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION IS UNDER A MANAGEMENT/AFFILIATION CONTRACT WITH GREENCROFT RETIREMENT COMMUNITIES, INC. (GRC), A RELATED TAX-EXEMPT ORGANIZATION. ACCORDING TO THE AGREEMENT, GRC HAS THE SOLE AND EXCLUSIVE RIGHT TO SUPERVISE, MANAGE, AND OPERATE THE ORGANIZATION'S FACILITY ("THE FACILITY"). IN ADDITION, GRC HAS THE SOLE CONTROL AND DISCRETION WITH REGARD TO THE OPERATION AND MANAGEMENT OF THE FACILITY FOR ALL CUSTOMARY PURPOSES, AS WELL AS THE RIGHT TO DETERMINE ALL OPERATING POLICIES AFFECTING OR CONCERNING THE APPEARANCE AND MAINTENANCE STANDARDS OF OPERATION, AND ANY OTHER MATTER AFFECTING THE FACILITY OR THE OPERATION THEREOF. THE AGREEMENT TERMINATES IN JUNE 2013, AND IS RENEWABLE ANNUALLY FOR ADDITIONAL ONE YEAR PERIODS.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE MEMBER, GREENCROFT RETIREMENT COMMUNITIES, INC. (GRC), WHO IS ALSO A RELATED TAX-EXEMPT ORGANIZATION. THE RESERVED POWERS OF THE SOLE MEMBER ARE AS FOLLOWS: 1. APPROVAL TO ANY CHANGES IN CORPORATE MISSION, WHICH MAY BE PROPOSED BY THE ORGANIZATION, BUT WHICH SHALL BECOME EFFECTIVE ONLY UPON APPROVAL OF GRC 2. APPROVAL OF NOMINATED CANDIDATES TO SERVE AS DIRECTOR OF THE ORGANIZATION 3. THE CREATION OR DISCONTINUATION OF PROGRAMS OR SERVICES OFFERED BY THE ORGANIZATION 4. AMENDMENTS TO THE BYLAWS AND ARTICLES OF INCORPORATION 5. APPROVAL OR THE ADOPTION OF THE ANNUAL BUDGET 6. APPROVAL OF NON-BUDGETED CONTRACTS AND/OR NON-BUDGETED PURCHASES OF OVER $50,000 7. THE INCURRENCE OF INDEBTEDNESS OF OVER $500,000 8. THE SALE OF REAL ESTATE 9. THE DONATION OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS 10. ANY MERGER OR CONSOLIDATION WITH ANY OTHER ORGANIZATION, OR THE PARTIAL OR TOTAL DISSOLUTION OF THE ORGANIZATION 11. THE CREATION OF SUBSIDIARY CORPORATIONS, LLCS, PARTNERSHIPS, OR OTHER ENTERPRISES 12. THE ACQUISITION OF CONTROLLING INTERESTS IN ANOTHER ENTITY 13. THE APPOINTMENT OF THE PRESIDENT/CEO, CFO, SECRETARY, AND TREASURER OF THE CORPORATION (BUT NOT THE OFFICERS OF THE BOARD OF DIRECTORS) 14. THE REMOVAL OF THE CHAIR OF THE BOARD OF DIRECTORS, WITH OR WITHOUT CAUSE 15. THE REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS, WITH OR WITHOUT CAUSE NOTWITHSTANDING THESE RESERVED POWERS, THE MEMBER HAS NO FINANCIAL OBLIGATIONS OR RESPONSIBILITIES FOR ANY ACTIONS OF THE ORGANIZATION BY REASON OF SERVING AS A MEMBER.
FORM 990, PART VI, SECTION A, LINE 7ASEE NARRATIVE FOR PART VI, SECTION A, LINE 6
FORM 990, PART VI, SECTION A, LINE 7BSEE NARRATIVE FOR PART VI, SECTION A, LINE 6
FORM 990, PART VI, SECTION B, LINE 11A FINAL DRAFT OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, IS PRESENTED BY OUR TAX ADVISORS TO THE ORGANIZATION'S AUDIT COMMITTEE AT A REGULARLY SCHEDULED MEETING. A COPY OF THE FINAL DRAFT IS THEN PROVIDED TO EACH BOARD MEMBER PRIOR TO ITS FILING. THIS ALLOWS THE BOARD OF DIRECTORS AND MANAGEMENT TO REVIEW AND PROVIDE COMMENTS AND EXPLANATIONS REGARDING THE FORM.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THEY MAY HAVE WITH THE ORGANIZATION. THE TREASURER REVIEWS EACH POLICY STATEMENT SIGNED BY THESE INDIVIDUALS TO DETERMINE IF ANY CONFLICTS HAVE OCCURRED AND NEED TO BE BROUGHT TO THE ATTENTION OF THE BOARD. IF A CONFLICT ARISES, THE RESPECTIVE BOARD MEMBER WILL ABSTAIN HIM/HERSELF FROM ANY RELATED DISCUSSION, VOTE OR SIMILAR ACTION ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15GREENCROFT MIDDLEBURY'S (GM) PHILOSOPHY IS TO COMPENSATE TEAM MEMBERS IN A FAIR MANNER FOR THE WORTH OF WORK PROVIDED WITHIN THE CURRENT MARKET VALUE RANGE FOR EACH POSITION IN THE ORGANIZATION. GM CONDUCTS PERIODIC REVIEW OF THE MARKET TO DEVELOP AVERAGE WAGES FOR POSITIONS WITHIN GREENCROFT MIDDLEBURY. GREENCROFT MIDDLEBURY STARTS EMPLOYEES THAT MEET THE MINIMUM REQUIREMENTS FOR THE POSITION AT/OR NEAR THE STARTING WAGE. WE MAKE ADJUSTMENTS TO THE STARTING WAGE BASED ON YEARS OF EXPERIENCE IN THAT SPECIFIC POSITION. OUR COMPENSATION PHILOSOPHY FOR STAFF OF OUR ORGANIZATION IS BASED ON VARIOUS TIERS. THE FIRST TIER IS GENERAL STAFF. WE HAVE HIRED AN OUTSIDE CONSULTANT TO DEVELOP A COMPENSATION SYSTEM FOR ALL OF GREENCROFT MIDDLEBURY'S POSITIONS. THE CONSULTANTS DEVELOPED A SYSTEM WITH WAGE SCALES THAT USE THE MARKETPLACE AVERAGE FOR KEY POSITIONS AS THE STARTING POINT FOR THE SCALES. THE WAGES SCALES HAVE A MINIMUM, A 25TH PERCENTILE, A 50TH PERCENTILE (AVERAGE), A 75TH PERCENTILE, AND A MAXIMUM. WE STRIVE TO KEEP OUR AVERAGE FOR POSITIONS AT THE MID-POINT OF A RANGE DEVELOPED BY OUR CONSULTANTS. PERIODICALLY WE HIRE A CONSULTANT TO UPDATE THE MARKETPLACE AVERAGE FOR SEVERAL KEY POSITIONS. THE CONSULTANT WILL USE AREA MARKETPLACE DATA, AAHSA DATA, AND OTHER INDUSTRY DATA TO DEVELOP THE AVERAGE. OUR COMPENSATION PHILOSOPHY FOR MANAGEMENT AND EXECUTIVE STAFF (DIRECTORS AND VICE PRESIDENT) OF OUR ORGANIZATION IS SLIGHTLY DIFFERENT. THE SECOND TIER IS MANAGEMENT STAFF. THE WAGE SCALE SYSTEM IS THE SAME FOR OUR STAFF. HOWEVER, OUR POLICY STATES THAT DIRECTORS ARE LIKE OTHER STAFF AND CAN EARN UP TO THE 100TH PERCENTILE OF THE RANGE FOR THEIR POSITION. OUR THIRD TIER IS VICE PRESIDENT STAFF. THE WAGE SCALE SYSTEM IS THE SAME FOR OUR STAFF. HOWEVER, THERE IS ONE DIFFERENCE. THE POLICY STATES THAT VICE PRESIDENTS CAN EARN UP TO THE 85TH PERCENTILE OF THE RANGE FOR THEIR POSITION. THE RANGE USES THE MEDIAN AS THE MID-POINT NOT THE AVERAGE. GENERALLY THE MEDIAN IS BELOW THE AVERAGE. THE OVERALL COMPENSATION POLICY AND THE VP COMPENSATION POLICY ARE APPROVED BY THE GREENCROFT COMMUNITIES (GC) BOARD OF DIRECTORS. THE GREENCROFT MIDDLEBURY (GM) BOARD REVIEWS THE COMPENSATION POLICIES. ANNUALLY THE GC BOARD AND THE GM BOARD REVIEW THE COMPENSATION OF THE EXECUTIVE TEAM. THEY COMPARE CURRENT WAGES WITH NATIONAL DATA PROVIDED BY AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA). THE BOARDS REVIEW THE CURRENT WAGE, THE PERCENTILE RANKING OF THE EMPLOYEE IN HIS/HER RESPECTIVE RANGE AND THE MEDIAN OF THE MARKETPLACE COMPARED TO THE MID-POINT OF THE EMPLOYEE'S RANGE. THE BOARDS DOCUMENT THESE MEETINGS AND ACTIONS TAKEN IN THEIR BOARD MINUTES. THE GM BOARD HAS REVIEWED THE BASE WAGE AND THE VARIABLE PAY FOR THE PRESIDENT OF GREENCROFT MIDDLEBURY. IN THE FISCAL YEAR 2012 THIS POSITION WAS BELOW THE 50TH PERCENTILE OF THE RANGE FOR THIS POSITION IN BASE COMPENSATION. THIS PROCESS WAS LAST PERFORMED IN FISCAL YEAR 2012.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART VII, SECTION A:PATRICIA FORD, SECRETARY, DEVOTES APPROXIMATELY 40 HOURS PER WEEK TO GREENCROFT RETIREMENT COMMUNITIES, INC., A RELATED TAX-EXEMPT ORGANIZATION. SHE ALSO DEVOTES APPROXIMATELY ONE HOUR PER WEEK TO THE FOLLOWING RELATED ORGANIZATIONS: GREENCROFT COMMUNITIES FOUNDATION, INC. GREENCROFT GOSHEN, INC. GREENCROFT CENTRAL MANOR, INC. GREENCROFT MANOR II, INC. GREENCROFT MANOR III, INC. GREENCROFT HOME HEALTH SERVICES, INC. GREENCROFT MANAGEMENT, INC. TANE ADAMS, SECRETARY, DEVOTES APPROXIMATELY 40 HOURS PER WEEK TO GREENCROFT RETIREMENT COMMUNITIES, INC., A RELATED TAX-EXEMPT ORGANIZATION. SHE ALSO DEVOTES APPROXIMATELY ONE HOUR PER WEEK TO THE FOLLOWING RELATED ORGANIZATIONS: GREENCROFT COMMUNITIES FOUNDATION, INC. GREENCROFT GOSHEN, INC. GREENCROFT CENTRAL MANOR, INC. GREENCROFT MANOR II, INC. GREENCROFT MANOR III, INC. GREENCROFT HOME HEALTH SERVICES, INC. GREENCROFT MANAGEMENT, INC. DALE SHENK, TREASURER, DEVOTES APPROXIMATELY 40 HOURS PER WEEK TO GREENCROFT RETIREMENT COMMUNITIES, INC., A RELATED TAX-EXEMPT ORGANIZATION. HE ALSO DEVOTES APPROXIMATELY ONE HOUR PER WEEK TO THE FOLLOWING RELATED ORGANIZATIONS: CHICAGO TRAIL VILLAGE, INC. GREENCROFT COMMUNITIES FOUNDATION, INC. GREENCROFT GOSHEN, INC. GREENCROFT CENTRAL MANOR, INC. GREENCROFT MANOR II, INC. GREENCROFT MANOR III, INC. GREENCROFT HOME HEALTH SERVICES, INC. SOUTHFIELD VILLAGE, INC. HAVEN HUBBARD HOMES, INC. D/B/A HAMILTON GROVE HAMILTON FOUNDATION WALNUT HILLS RETIREMENT COMMUNITIES, INC. OAK GROVE CHRISTIAN RETIREMENT VILLAGE, INC. GREENCROFT MANAGEMENT, INC. VARIOUS BOARD MEMBERS ALSO CONTRIBUTE TIME TO OTHER RELATED ORGANIZATIONS REPORTED IN SCHEDULE R.
FORM 990, PART XII, LINE 2C:THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
GREENCROFT COMMUNITIES FOUNDATION INC
PO BOX 819GOSHENIN46527237126990FUNDRAISINGIN501(C)(3)LINE 7GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT GOSHEN INC
PO BOX 819GOSHENIN46527351270709HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT MANOR III INC
PO BOX 819GOSHENIN46527351431475HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT MANOR II INC
PO BOX 819GOSHENIN46527351377430HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT CENTRAL MANOR INC
PO BOX 819GOSHENIN46527356047318HOUSINGIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT RETIREMENT COMMUNITIES INC
PO BOX 819GOSHENIN46527300036587MANAGEMENTIN501(C)(3)LINE 11C, III-FI0N/A
HAVEN HUBBARD HOMES INC DBA HAMILTON GROVE
31869 CHICAGO TRAILNEW CARLISLEIN46552350870110HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
OAK GROVE CHRISTIAN RETIREMENT VILLAGE INC
221 WEST DIVISION ROADDEMOTTEIN46310351986767HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
SOUTHFIELD VILLAGE INC
6450 MIAMI CIRCLESOUTH BENDIN46614351866553HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
WALNUT HILLS RETIREMENT COMMUNITIES INC
PO BOX 129WALNUT CREEKOH44687351317338HEALTHCAREIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
GREENCROFT HOME HEALTH SERVICES INC
PO BOX 819GOSHENIN46527351606010HOME HEALTHIN501(C)(3)LINE 9GREENCROFT RETIREMENT COMMUNITIES INC1
HAMILTON FOUNDATION INC
31869 CHICAGO TRAILNEW CARLISLEIN46552351764275FUNDRAISINGIN501(C)(3)LINE 11A, IHAVEN HUBBARD HOMES INC DBA HAMILTON GROVE1
CHICAGO TRAIL VILLAGE INC
31869 CHICAGO TRAILNEW CARLISLEIN46552310990629HOUSINGIN501(C)(3)LINE 9HAVEN HUBBARD HOMES INC DBA HAMILTON GROVE1
MENNONITE HEALTH SERVICES
234 S MAIN STREET SUITE AGOSHENIN46526231421919HEALTHCAREIN501(C)(3)LINE 90N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GREENCROFT MANAGEMENT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 819AddressLine1
CityGOSHENCity
StateINState
ZIP Code46527ZIPCode
FieldValueIRS element (for citing)
EIN270259652EIN
Primary ActivityMANAGEMENT SERVICESPrimaryActivity
Legal Domicile StateINLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
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 Org1GiftGrantOrCapContrFrOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GREENCROFT GOSHEN INC
L94340ACTUAL COST
GREENCROFT RETIREMENT COMMUNITIES INC
L51805ACTUAL COST
GREENCROFT GOSHEN INC
E2000000CASH VALUE
GREENCROFT RETIREMENT COMMUNITIES INC
E1000000CASH VALUE