EDGAR P BENJAMIN HEALTHCARE CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
EDGAR P BENJAMIN HEALTHCARE CENTER INC (EIN 04-2104452)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349301983
Schema version
2012v2.1
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)
Timestamp2013-11-14T09:57:03-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042104452EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EDGAR P BENJAMIN HEALTHCARE CENTER INCBusinessNameLine1
Business Name Line2FKA RESTHAVEN CORPORATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlEDGANameControl
Phone6177381500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1
CityROXBURYCity
StateMAState
ZIP Code02120ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMYRNA WYNNName
TitlePRESIDENT & CEOTitle
Phone6177381500Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT DILLANName
PTINP01688008PTIN
Phone6179848100Phone
Date Prepared2013-11-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPERRY SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1
CityROXBURYCity
StateMAState
ZIP Code02120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12668589GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BENJAMINHEALTHCARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1927YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE NURSING CARE TO THE ELDERLY, AND TO PROVIDE HELP TO EDUCATION SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees256TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year71831ContributionsGrantsPriorYear
Contributions Grants Current Year1865ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11721074ProgramServiceRevenuePriorYear
Program Service Revenue CY11903131ProgramServiceRevenueCY
Investment Income Prior Year13311InvestmentIncomePriorYear
Investment Income Current Year6266InvestmentIncomeCurrentYear
Other Revenue Prior Year498161OtherRevenuePriorYear
Other Revenue Current Year532639OtherRevenueCurrentYear
Total Revenue Prior Year12304377TotalRevenuePriorYear
Total Revenue Current Year12443901TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9004493SalariesEtcPriorYear
Salaries Etc Current Year8883467SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3618268OtherExpensePriorYear
Other Expenses Current Year3691211OtherExpensesCurrentYear
Total Expenses Prior Year12622761TotalExpensesPriorYear
Total Expenses Current Year12574678TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-318384RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-130777RevenuesLessExpensesCY
Total Assets BOY4679099TotalAssetsBOY
Total Assets EOY4461667TotalAssetsEOY
Total Liabilities BOY4505989TotalLiabilitiesBOY
Total Liabilities EOY4408664TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY173110NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY53003NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE A HOME OR SHELTER FOR AND TO OTHERWISE ASSIST INDIGENT PEOPLE WITHOUT REGARD TO RACE, CREED OR COLOR. TO PROVIDE EDUCATIONAL OPPORTUNITIES AND VOCATIONAL TRAINING FOR INDIVIDUALS WHO WORK IN LONG-TERM CARE FACILITIES OR OTHERWISE CARE FOR THE ELDERLY. TO PROVIDE SCHOOL-AGED CHILDREN WITH INTERGENERATIONAL LEARNING OPPORTUNITIES THAT ALLOW THEM TO GAIN SKILLS AND KNOWLEDGE FROM OLDER GENERATIONS. TO CARRY ON ANY ACTIVITY CONNECTED WITH OR INCIDENTAL TO THE FOREGOING PURPOSE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11365300Expense
Revenue12426960Revenue
DescriptionOPERATING A 205-BED NURSING HOMEDescription
Total Program Service Expense11365300TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees256NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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 Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MYRNA E WYNNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6177381500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 FISHER AVEAddressLine1
CityROXBURYCity
StateMAState
ZIP Code02120ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PERRY SMITH
CHAIRMAN0.900.10XX000
SANDY JACKSON
TREASURER0.900.10XX000
DELORIS TUGGLE
DIRECTOR0.900.10X000
EVAN TOBASKY
SECRETARY0.900.10XX000
LUZ QUINCHIA
DIRECTOR0.900.10X000
REV GREGORY FERNANDES
DIRECTOR0.900.10X000
MYRNA WYNN
PRESIDENT & CEO39.200.80XX165556010389
REV EVAN C HINES
DIRECTOR0.900.10X000
ROSALINDA MIDENCE
DIRECTOR0.900.10X000
NUNOTTE ZAMA
DIRECTOR0.900.10X000
BERTHELINA SPRIGGS
DON40.000.0012589005853X
MARILYN LIGUID
DIRECTOR OF REHAB40.000.0010096907857X
FieldValueIRS element (for citing)
Total Reportable Comp From Org392415TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation24099TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants1865GovernmentGrants
Total Contributions1865TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column11855768TotalRevenueColumn
Related Or Exempt Function Income11855768RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column47363TotalRevenueColumn
Related Or Exempt Function Income47363RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11903131TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6266TotalRevenueColumn
Exclusion$6,266ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real666400Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real142571Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real523829Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column523829TotalRevenueColumn
Related Or Exempt Function Income523829RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events90927GrossIncomeFundraisingEvents
Fundraising Direct Expenses82117FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column8810TotalRevenueColumn
Exclusion$8,810ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12443901TotalRevenueColumn
Related Or Exempt Function Income12426960RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$15,076ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total175955Total
Management And General175955ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7058123Total
Program Services6492062ProgramServices
Management And General566061ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total163731Total
Program Services150880ProgramServices
Management And General12851ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total941903Total
Program Services866362ProgramServices
Management And General75541ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total543755Total
Program Services488683ProgramServices
Management And General55072ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total28303Total
Management And General28303ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total63010Total
Management And General63010ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total264556Total
Program Services118238ProgramServices
Management And General146318ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10383Total
Program Services10383ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total110801Total
Program Services110801ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total446770Total
Program Services446770ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total21514Total
Program Services21514ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1595Total
Program Services1595ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total107499Total
Program Services107499ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total86267Total
Management And General86267ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
USER FEES996920996920
SUPPLIES AND EXPENSE799103799103
FOOD361725361725
REPAIRS AND MAINTENANCE162804162804

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total229961Total
Program Services229961ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12574678Total
Program Services11365300ProgramServices
Management And General1209378ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY201663BOY
EOY604709EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2113499BOY
EOY1495525EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1174080BOY
EOY1131808EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY107125BOY
EOY86052EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5127610LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4549846LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY607889BOY
EOY577764EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY97571BOY
EOY208242EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY377272BOY
EOY357567EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4679099BOY
EOY4461667EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1459000BOY
EOY1361675EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2300000BOY
EOY2300000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY746989BOY
EOY746989EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4505989BOY
EOY4408664EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY173110BOY
EOY53003EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY173110BOY
EOY53003EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4679099BOY
EOY4461667EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-130777ReconcilationRevenueExpenses
Reconciliation Unrealized Invest10671ReconciliationUnrealizedInvest
Reconcilation Other Changes-1ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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 Minus4 Years119106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years130328CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years241095CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78718CurrentTaxYearMinus1Year
Current Tax Year92792CurrentTaxYear
Total662039Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13136702CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13525989CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12549099CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11721074CurrentTaxYearMinus1Year
Current Tax Year11903131CurrentTaxYear
Total62835995Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13255808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13656317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12790194CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11799792CurrentTaxYearMinus1Year
Current Tax Year11995923CurrentTaxYear
Total63498034Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years362884CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18814CurrentTaxYearMinus1Year
Current Tax Year1865CurrentTaxYear
Total383563Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years362884CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18814CurrentTaxYearMinus1Year
Current Tax Year1865CurrentTaxYear
Total383563Total
FieldValueIRS element (for citing)
Public Support Total50963114471PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years428884CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years377177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years728387CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year698671CurrentTaxYearMinus1Year
Current Tax Year672666CurrentTaxYear
Total2905785Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years428884CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years377177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years728387CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year698671CurrentTaxYearMinus1Year
Current Tax Year672666CurrentTaxYear
Total2905785Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13684692CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14033494CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13518581CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12498463CurrentTaxYearMinus1Year
Current Tax Year12668589CurrentTaxYear
Total66403819Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95050PublicSupportPercentage509
Prior Year Support Percentage0.95550PriorYearSupportPercentage
Investment Income Percentage0.04380InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03880PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$3,019OtherActivitiesAmount
Total Lobbying Expenditures IIB3019TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationPAID MEMBERSHIP DUES TO STATE HEALTHCARE ORGANIZATIONExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis200000OtherCostOrOtherBasis
Book Value200000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3504355OtherCostOrOtherBasis
Depreciation3230980Depreciation
Book Value273375BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1423255OtherCostOrOtherBasis
Depreciation1318866Depreciation
Book Value104389BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings577764TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
CONSTRUCTION IN PROGRESS122576
RENT RECEIVABLE234991
FieldValueIRS element (for citing)
Total Book Value Other Assets357567TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED INTEREST PAYABLE$596,989
ASSET RETIREMENT OBLIGATION$150,000
FieldValueIRS element (for citing)
Total Of Amounts746989TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt12679260TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments10671NetUnrealizedGainsInvestments
Other Revenues224688OtherRevenues
Revenue Not Rptd F990235359RevenueNotRptdF990
Revenue Subtotal12443901RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012443901TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12799367TotExpensesEtcAuditedFinclStmt
Other Expenses Included224689OtherExpensesIncluded
Expenses Not Rptd F990224689ExpensesNotRptdF990
Expenses Subtotal12574678ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012574678TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SEC 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATIONS 2009 THROUGH 2012 TAX RETURNS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES,
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE NETTED AGAINST INCOME 142,571. FUNDRAISING EXPENSES NETTED AGAINST INCOME 82,117.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE NETTED AGAINST INCOME 142,571. FUNDRAISING EXPENSES NETTED AGAINST INCOME 82,117. ROUNDING 1.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event115450GrossReceiptsEvent1
Gross Revenue Event115450GrossRevenueEvent1
Rent Facility Costs Event110600RentFacilityCostsEvent1
Food And Beverage Event17869FoodAndBeverageEvent1
Other Direct Expenses Event12314OtherDirectExpensesEvent1
Name Of Event2GALA CELEBRATIONNameOfEvent2
Gross Receipts Event275477GrossReceiptsEvent2
Gross Revenue Event275477GrossRevenueEvent2
Rent Facility Costs Event211473RentFacilityCostsEvent2
Food And Beverage Event234522FoodAndBeverageEvent2
Entertainment Event22500EntertainmentEvent2
Other Direct Expenses Event212839OtherDirectExpensesEvent2
Gross Receipts Total90927GrossReceiptsTotal
Gross Revenue Total Events90927GrossRevenueTotalEvents
Rent Facility Costs Total Events22073RentFacilityCostsTotalEvents
Food And Beverage Total Events42391FoodAndBeverageTotalEvents
Entertainment Total Events2500EntertainmentTotalEvents
Other Direct Expenses Total Events15153OtherDirectExpensesTotalEvents
Direct Expense Summary Events82117DirectExpenseSummaryEvents
Net Income Summary8810NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMYRNA WYNNNamePerson
TitlePRESIDENT & CEOTitle
Base Compensation Filing Org165556BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org3500DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org6889NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org175945TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS IS GIVEN A COPY OF THE FORM 990 TO REVIEW AND IT IS DISCUSSED AT A BOARD MEETING PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS APPROVES ANY CHANGES TO THE CEO'S COMPENSATION. INDUSTRY COMPENSATION DATA AVAILABLE THROUGH THE STATE AND CONSULTANTS IS REVIEWED. ANY ADJUSTMENTS TO THE CEO'S COMPENSATION ARE DOCUMENTED IN WRITING IN THE MEETING MINUTES
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON AN UPON REQUEST BASIS.
FORM 990, PART XI, LINE 9:ROUNDING -1.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1RESTHAVEN CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 FISHER AVENUEAddressLine1
CityROXBURYCity
StateMAState
ZIP Code02120ZIPCode
FieldValueIRS element (for citing)
EIN043448700EIN
Primary ActivitiesOWNS MORTGAGEPrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11C, III-FIPublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
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 Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.