2012-03-22T04:53:16-05:00 2011-06-30 PARENTEBEARD LLC 1869 CHARTER LANE STE 301 LANCASTER PA 17601 990 2010-07-01 320154392 LUTHERAN VILLAGE AT MILLER'S GRANT LUTH 4108480090 300 ST LUKE CIRCLE WESTMINSTER MD 21158 GEARY K MILLIKEN 4108480090 2012-03-02 1 MICHAEL S FREY 7173935696 2010 2016-02-24 21:20:13Z GEARY K MILLIKEN 300 ST LUKE CIRCLE WESTMINSTER MD 21158 0 0 X WWW.CARROLLLUTHERANVILLAGE.ORG X 2005 MD RESIDENTIAL SERVICES PROVIDED TO THE ELDERLY - RETIREMENT COMMUNITY IN THE DEVELOPMENT STAGES. 9 7 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26603784 23992625 8244095 10272936 18359689 13719689 X THE ORGANIZATION IS STILL IN ITS DEVELOPMENTAL STAGES AND HAS YET TO ESTABLISH AN INDEPENDENT MISSION STATEMENT. HOWEVER, IT FOLLOWS THE MISSION OF ITS RELATED ENTITY, CARROLL LUTHERAN VILLAGE, TO BE A CONTINUING CARE RETIREMENT COMMUNITY DEDICATED TO THE MINISTRY OF CARING IN A CHRISTIAN ATMOSPHERE FOSTERING QUALITY LIFE AND SERVICES FOR THE WHOLE PERSON. 0 0 RESIDENTIAL SERVICES PROVIDED TO THE ELDERLY - RETIREMENT COMMUNITY IN THE DEVELOPMENT STAGES 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 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 1 0 0 0 0 1 3 0 1 4 1 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X DARRELL DUGGINS - VP OF FINANCE 4108480090 300 ST LUKE CIRCLE WESTMINSTER MD 21158 X GEARY K MILLIKEN 1.00 X X 0 234384 16925 ROY CHIAVACCI 1.00 X 0 135758 5188 ARTHUR S WISNER 1.00 X X 0 0 0 EDWARD LEISTER 1.00 X X 0 0 0 PAUL L MILLER 1.00 X X 0 0 0 FRANK PALULIS 1.00 X X 0 0 0 HERBERT D COSS JR 1.00 X 0 0 0 BRUCE ASH 1.00 X 0 0 0 JOE HIKEL 1.00 X 0 0 0 DARRELL DUGGINS 1.00 X 0 132522 6140 0 502664 28253 0 0 1 0 0 0 0 0 0 0 0 0 0 1892160 2700227 21289520 24708771 21289520 2853 2878 26603784 23992625 154930 76544 1882505 2690555 4195091 5059591 2011569 2446246 8244095 10272936 X 859689 13719689 17500000 0 18359689 13719689 26603784 23992625 X 0 -4640000 X X 0 1 1 X 0 X 18096985 18096985 18096985 18096985 18096985 18096985 1.00000 1.00000 X 0 1 21289520 21289520 21289520 DUE TO AFFILIATES 2446246 2446246 0 0 0 -4640000 -4640000 -4640000 -4640000 -4640000 -4640000 0 0 0 0 0 0 0 0 PART IV, LINE 2B: THE LUTHERAN VILLAGE AT MILLER'S GRANT (LVMG) TRANSFERS DEPOSITS, RECEIVED FROM PROSPECTIVE RESIDENTS, TO AN ESCROW AGENT. INTEREST ACCRUES FOR THE BENEFIT OF LVMG; HOWEVER THE FUNDS ARE KEPT IN THE NAME OF THE DEPOSITOR. THE PROSPECTIVE RESIDENT IS ENTITLED TO THE RETURN OF ALL OR PART OF THE DEPOSIT AS DETERMINED BY THE PROVIDER. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE VILLAGE FOLLOWS THE PROVISIONS OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE PROVISION ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THESE PROVISIONS DO NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. THE FEDERAL FORM 990, ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS ENDED JUNE 30,2010, 2009, AND 2008 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: IMPAIRMENT OF LAND -4,640,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: IMPAIRMENT OF LAND -4,640,000. X X X X 0 0 0 0 0 0 0 0 0 GEARY K MILLIKEN 0 234384 0 0 0 0 0 2527 0 14398 0 251309 0 122502 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF LUTHERAN VILLAGE AT MILLER'S GRANT IS CARROLL LUTHERAN VILLAGE, A MARYLAND NONSTOCK CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES SHALL BE APPOINTED BY THE MEMBER, CARROLL LUTHERAN VILLAGE; PROVIDED, HOWEVER, THAT GREY ROCK COMMUNITY, INC. (LUTHERAN VILLAGE AT MILLER'S GRANT), A MARYLAND NONSTOCK CORPORATION, SHALL BE ENTITLED TO NOMINATE 4 INDIVIDUALS TO SERVE AS TRUSTEES AND THE MEMBER SHALL APPOINT SUCH INDIVIDUALS NOMINATED BY GREY ROCK AS TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS FIRST REVIEWED BY BOTH THE PRESIDENT/CEO AND VP OF FINANCE. ONCE THEIR REVIEW HAS BEEN COMPLETED THE 990 IS GIVEN TO THE ENTIRE BOARD TO REVIEW PRIOR TO THE RETURN BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C LUTHERAN VILLAGE AT MILLER'S GRANT, AS THE WHOLLY OWNED SUBSIDIARY OF CARROLL LUTHERAN VILLAGE, FOLLOWS CAROLL LUTHERAN VILLAGE'S CONFLICT OF INTEREST POLICY. CARROLL LUTHERAN VILLAGE HAS AN ESTABLISHED POLICY AND STANDARDS REGARDING CONFLICT OF INTEREST. MANY BOARD AND COMMITTEE MEMBERS ARE ACTIVE AS COMMUNITY AND BUSINESS LEADERS IN CARROLL COUNTY AND WILL AT TIMES FIND THEMSELVES IN A POSITION WHERE THERE MAY BE A DEGREE OF CONFLICT WITH THE VILLAGE'S BUSINESS. THESE CONFLICTS ARE EXPECTED AND THE FACT THAT THEY WILL REGULARLY OCCUR DOES NOT PRECLUDE SUCH A MEMBER FROM SERVING ON THE BOARD OR COMMITTEE. THE VILLAGE IN FACT NEEDS THE VARIED EXPERTISE OF ITS BOARD AND COMMITTEE VOLUNTEERS AND BELIEVES THAT BOARD POLICY OF DISCLOSURE AND ABSTENTION ASSURES THAT THE VILLAGE'S BUSINESS IS CONDUCTED IN A FAIR AND INDEPENDENT MANNER. THE CARROLL LUTHERAN VILLAGE (CLV) CONFLICT OF INTEREST POLICY APPLIES TO OFFICERS, DIRECTORS, BOARD COMMITTEE MEMBERS AND EMPLOYEES OF CLV, EACH OF WHOM IS CONSIDERED AN INTEREST PERSON. AN ENTITY WITH A CLV TRANSACTION IS ANY INDIVIDUAL OR BUSINESS ORGANIZATION WHICH PROPOSES TO ENTER INTO ANY TRANSACTION WITH CLV INVOLVING: 1) THE SALE, PURCHASE, LEASE OR RENTAL OF ANY PROPERTY OR ASSET, 2) EMPLOYMENT, OR RENDITION OF SERVICES, PERSONAL OR OTHERWISE, 3) THE AWARD OF ANY GRANT, CONTRACT, OR SUBCONTRACT, OR 4) THE INVESTMENT OR DEPOSIT OF ANY FUNDS OF CLV. AN INTERESTED PERSON HAS A FINANCIAL INTEREST IN AN ENTITY IF SUCH PERSON OR AN IMMEDIATE FAMILY MEMBER (INCLUDING ALL LINEAL RELATIVES AND THEIR SPOUSES, SIBLINGS AND THEIR SPOUSES) HAS AN OWNERSHIP INTEREST IN THE ENTITY OR IS AN EMPLOYEE OF OR RECEIVES COMPENSATION FROM THE ENTITY. COMPENSATION INCLUDES ANY DIRECT OR INDIRECT REMUNERATION OR SUBSTANTIAL GIFTS OR FAVORS. AN INTERESTED PERSON HAS A CONFLICT OF INTEREST WHEN THAT PERSON, OR AN IMMEDIATE FAMILY MEMBER, IS, OR HAS A FINANCIAL INTEREST IN, AN ENTITY WITH A CLV TRANSACTION. CONFLICTS OF INTEREST CAN ALSO ARISE IN OTHER INSTANCES. THE TYPES OF ACTIVITIES WHICH MAY CREATE A CONFLICT OF INTEREST INCLUDE: 1) OUTSIDE ACTIVITIES: TO RENDER DIRECTIVE, MANAGERIAL OR CONSULTATIVE SERVICES TO ANY OUTSIDE CONCERN THAT DOES BUSINESS WITH, OR COMPETES WITH, THE SERVICES OF CLV, OR TO RENDER OTHER SERVICES IN COMPETITION WITH CLV. 2) GIFTS, GRATUITIES AND ENTERTAINMENT: TO ACCEPT GIFTS, ENTERTAINMENT OR OTHER FAVORS FROM ANY OUTSIDE CONCERN THAT DOES, OR IS SEEKING TO DO BUSINESS WITH OR IS A COMPETITOR OF CLV. 3) INSIDE INFORMATION: TO DISCLOSE OR USE INFORMATION RELATING TO THE BUSINESS OF CLV FOR THE PERSONAL PROFIT OR ADVANTAGE OF THE INDIVIDUAL OR HIS/HER IMMEDIATE FAMILY. IT IS THE RESPONSIBILITY OF AN INTERESTED PERSON TO APPROPRIATELY DISCLOSE TO CLV ANY POTENTIAL CONFLICTS OF INTEREST. ONCE DISCLOSED, IT IS THE RESPONSIBILITY OF THE CEO/PRESIDENT TO DETERMINE IF A CONFLICT EXISTS. THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES MAY BE UTILIZED BY THE CEO/PRESIDENT, IF NEEDED TO DETERMINE A POTENTIAL CONFLICT OF INTEREST. IF AN INTERESTED PERSON HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, APPROPRIATE DISCIPLINARY AND/OR CORRECTIVE ACTION WILL BE TAKEN. THE CONFLICT OF INTEREST POLICY STATEMENT IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES AND IS A NORMAL PART OF ALL AGREEMENTS AND/OR CONTRACTS. AN APPROPRIATE STATEMENT FORM IS AVAILABLE AND MUST BE SIGNED AND ON FILE FOR ALL INTERESTED PERSONS. FORM 990, PART VI, SECTION B, LINE 15 CARROLL LUTHERAN VILLAGE'S (A RELATED ENTITY AS REPORTED ON SCHEDULE R) EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, INCLUDING THE CHAIRMAN OF THE BOARD, WITH THE SUPPORT OF THE VP OF HUMAN RESOURCES, PARTICIPATES AS A COMPENSATION COMMITTEE WHICH USES A VARIETY OF SURVEYS AND COMPENSATION CONSULTANTS TO DETERMINE A RECOMMENDED COMPENSATION AMOUNT FOR THE PRESIDENT/CEO. THE CARROLL LUTHERAN VILLAGE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE PRESIDENT/CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, FORM 990, AND OTHER OPERATING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CERTAIN GOVERNING DOCUMENTS AND POLICIES ARE CONSIDERED PROPRIETARY AND ARE NOT GENERALLY DISCLOSED. THE ORGANIZATION IS IN FULL COMPLIANCE WITH ALL REGULATIONS CONCERNING DISCLOSURE AT THE FEDERAL, STATE, AND LOCAL LEVELS. HOURS WORKED FOR RELATED ORGANIZATIONS: FORM 990, PAGE 7, PART VII, COLUMN A THE FOLLOWING BOARD MEMBERS: GEARY F. MILLIKEN, ROY CHIAVACCI, AND DARRELL DUGGINS, ARE COMPENSATED FOR THE WORK PERFORMED FOR RELATED ENTITIES CARROLL LUTHERAN VILLAGE, INC. AND CL CATERING, INC. THE HOURS WORKED FOR THESE RELATED ENTITIES ARE IN EXCESS OF 35 HOURS PER WEEK. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: IMPAIRMENT OF LAND -4,640,000. TOTAL TO FORM 990, PART XI, LINE 5: -4,640,000. FORM 990, PAGE 12, PART XI, LINE 2C THE CORPORATE BODY OF CARROLL LUTHERAN VILLAGE (A RELATED ENTITY AS REPORTED ON SCHEDULE R) SELECTS THE AUDITOR TO COMPLETE THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS. ADDITIONALLY, THE CONSOLIDATED AUDIT REPORT IS REVIEWED BY AND ITS APPROVAL IS RECOMMENDED TO THE BOARD BY CARROLL LUTHERAN VILLAGE. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. NUMBER OF EMPLOYEES / PAYROLL EXPENSE FORM 990, PAGE 5, LINES 2A AND 2B: LUTHERAN VILLAGE AT MILLERS GRANT IS CURRENTLY IN THE MARKETING PHASE OF DEVELOPMENT. ALL COSTS ASSOCIATED WITH THIS PROJECT ARE CURRENTLY BEING CAPITALIZED. THIS IS WHY THERE ARE EMPLOYEES LISTED ON LINE 2A OF PART V BUT NO CORRESPONDING SALARIES BEING REPORTED ON THE STATEMENT OF FUNCTIONAL EXPENSES. CAROLL LUTHERAN VILLAGE INC 300 ST LUKE CIRCLE WESTMINSTER MD 21158 521127007 PROVIDE NURSING CARE TO THE EDERLY MD 501(C)(3) 9 N/A 0 CLV CATERING INC 300 ST LUKE CIRCLE WESTMINSTER MD 21158 753195092 CATERING MD CAROLL LUTHERAN VILLAGE INC C 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0