WATERMAN COMMUNITIES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WATERMAN COMMUNITIES INC (EIN 59-2867652)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-07-19
IRS object ID
201202019349300730
Schema version
2010v3.4
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)
Timestamp2012-07-19T15:03:08-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOORE STEPHENS LOVELACE PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 S ORLANDO AVENUE SUITE 400AddressLine1
CityWINTER PARKCity
StateFLState
ZIP Code327897192ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592867652EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WATERMAN COMMUNITIES INCBusinessNameLine1
Business Name Line2D/B/A WATERMAN VILLAGE OF MT DORABusinessNameLine2
FieldValueIRS element (for citing)
Name ControlWATENameControl
Phone3523830051Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 BROOKFIELD AVENUEAddressLine1
CityMOUNT DORACity
StateFLState
ZIP Code32757ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANDREW DUJONName
TitleVICE PRESIDENT/CFOTitle
Phone3523830051Phone
Date Signed2012-07-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKURT A ALTER CPAName
Phone4077405400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDALE LINDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1250 BROOKFIELD AVENUEAddressLine1
CityMOUNT DORACity
StateFLState
ZIP Code32757ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28177708GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WATERMANVILLAGE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S MISSION IS TO PROVIDE HOUSING, HEALTHCARE AND OTHER SERVICES TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees571TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2218922ContributionsGrantsPriorYear
Contributions Grants Current Year57780ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26235721ProgramServiceRevenuePriorYear
Program Service Revenue CY27485076ProgramServiceRevenueCY
Investment Income Prior Year55943InvestmentIncomePriorYear
Investment Income Current Year85709InvestmentIncomeCurrentYear
Other Revenue Prior Year524350OtherRevenuePriorYear
Other Revenue Current Year527664OtherRevenueCurrentYear
Total Revenue Prior Year29034936TotalRevenuePriorYear
Total Revenue Current Year28156229TotalRevenueCurrentYear
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 Year13865296SalariesEtcPriorYear
Salaries Etc Current Year14505197SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14119629OtherExpensePriorYear
Other Expenses Current Year14361008OtherExpensesCurrentYear
Total Expenses Prior Year27984925TotalExpensesPriorYear
Total Expenses Current Year28866205TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1050011RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-709976RevenuesLessExpensesCY
Total Assets BOY38582098TotalAssetsBOY
Total Assets EOY37046885TotalAssetsEOY
Total Liabilities BOY41080931TotalLiabilitiesBOY
Total Liabilities EOY40315564TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-2498833NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3268679NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS A COMMUNITY CENTERED ORGANIZATION, WATERMAN COMMUNITIES, INC. MAKES IT POSSIBLE FOR ALL RESIDENTS TO AGE SUCCESSFULLY, LIVING THEIR BEST LIFE WITH MAXIMUM WELLNESS AND INDEPENDENCE THROUGH A BROAD RANGE OF SERVICES DELIVERED IN A SPIRIT OF CARING, INTEGRITY AND PROFESSIONALISM.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12204617Expense
Revenue13752795Revenue
DescriptionEDGEWATER HEALTH CARE AND REHABILITATION CENTER: THIS SKILLED NURSING FACILITY SERVES APPROXIMATELY 120 RESIDENTS IN ITS REHABILITATION THERAPY SUB-ACUTE AND SECURED DEMENTIA UNITS, AND LONG-TERM CARE NURSING FACILITY BEDS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7589294Expense
Revenue8552009Revenue
DescriptionINDEPENDENT LIVING RETIREMENT UNITS: THE INDEPENDENT LIVING UNITS SERVE APPROXIMATELY 305 ELDERLY RESIDENTS BY PROVIDING ONE MEAL PER DAY, TRANSPORTATION TO MEDICAL APPOINTMENTS, SHOPPING, ACTIVITIES, WEEKLY HOUSEKEEPING, MAINTENANCE, BASIC CABLE TELEVISION AND SOME UTILITIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4597119Expense
Revenue5180272Revenue
DescriptionBRIDGEWATER ASSISTED LIVING FACILITY AND SUMMIT ASSISTED LIVING FACILITY: THE ASSISTED LIVING FACILITIES SERVE APPROXIMATELY 150 ELDERLY RESIDENTS WITH ASSISTANCE IN CERTAIN ACTIVITIES OF DAILY LIVING, INCLUDING A 24-HOUR NURSING STAFF; THREE MEALS DAILY; HOUSEKEEPING AND MAINTENANCE; TRANSPORTATION TO MEDICAL APPOINTMENTS AND SHOPPING ACTIVITIES; BASIC CABLE TELEVISION AND ALL UTILITIES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense468264Expense
Revenue527664Revenue
DescriptionGENERAL REVENUE AND EXPENSESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp468264TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev527664TotalOfOtherProgramServiceRev
Total Program Service Expense24859294TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees571NumberOfEmployees
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ANDREW DUJONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3523830051TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1250 BROOKFIELD AVENUEAddressLine1
CityMOUNT DORACity
StateFLState
ZIP Code32757ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
KEVIN W MCEWEN
CHAIRMAN2.00XX000
THOMAS POPIESKI
SECRETARY/TREASURER2.00XX000
JOHN J COFFEY
DIRECTOR2.00X000
RICHARD A LEIGH
DIRECTOR2.00X000
GUSTAV SCHEUNEMAN
DIRECTOR2.00X000
THOMAS E SUTTON
DIRECTOR2.00X000
JEANNE DE PRADA
CHIEF OPERATING OFFICER40.00X15621000
ANDREW DUJON
CHIEF FINANCE OFFICER40.00X15429002536
DALE LIND
CHIEF EXECUTIVE OFFICER40.00X23708705800
HEARDLEY R MURDOCK
MANAGING DIRECTOR BUDGET & FINANCE40.0010735600X
JACK C WILBURN
V.P. INFORMATION TECH & CORPORATE CONTRACTS40.0012311500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org778058TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation8336TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO INC & AFFILIATES
P O BOX 905374CHARLOTEENC282905374CULINARY MANAGEMENT1800736
RXPERTS PHARMACY SERVICES INC
4032 N 29TH AVENUEHOLLYWOODFL33020PHARMACY SERVICES525542
QCR INC
8477 S SUNCOAST BLVDHOMOSASSAFL34446THERAPY MANAGEMENT518766
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions57780AllOtherContributions
Total Contributions57780TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURSING6230001375279513752795
INDEPENDENT LIVING62399085520098552009
ASSISTED LIVING62300051802725180272
FieldValueIRS element (for citing)
Total Program Service Revenue27485076TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column107188TotalRevenueColumn
Exclusion$107,188ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other21479Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-21479Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-21479TotalRevenueColumn
Exclusion-$21,479ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column527664TotalRevenueColumn
Related Or Exempt Function Income527664RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue527664TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28156229TotalRevenueColumn
Related Or Exempt Function Income28012740RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$85,709ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total500782Total
Management And General500782ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12722561Total
Program Services10915656ProgramServices
Management And General1806905ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total324326Total
Program Services211970ProgramServices
Management And General112356ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total957528Total
Program Services807359ProgramServices
Management And General150169ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48000Total
Management And General48000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1706608Total
Program Services1161499ProgramServices
Management And General545109ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total263419Total
Program Services15344ProgramServices
Management And General248075ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total330213Total
Program Services209663ProgramServices
Management And General120550ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1134185Total
Program Services961815ProgramServices
Management And General172370ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total105337Total
Program Services47818ProgramServices
Management And General57519ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1888625Total
Program Services1888625ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2668101Total
Program Services2650299ProgramServices
Management And General17802ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2303818Total
Program Services2303818ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD AND DIETARY USAGE1628331156651361818
SUPPLIES1480471146669013781
REPAIRS AND MAINTENANCE40922233729771925
TAXES AND LICENSES31845229973418718
DUES AND SUBSCRIPTIONS40218993530283

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total36008Total
Program Services5259ProgramServices
Management And General30749ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28866205Total
Program Services24859294ProgramServices
Management And General4006911ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY334861BOY
EOY870921EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1961646BOY
EOY2442831EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY67064BOY
EOY102463EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY67437BOY
EOY66023EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY352393BOY
EOY289666EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis63923721LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec34891097LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28408772BOY
EOY29032624EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2877201BOY
EOY337581EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4512724BOY
EOY3904776EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38582098BOY
EOY37046885EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3960255BOY
EOY3833755EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY10164197BOY
EOY10329606EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY23169372BOY
EOY22332505EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2982053BOY
EOY3379352EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY805054BOY
EOY440346EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41080931BOY
EOY40315564EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-2498833BOY
EOY-3268679EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-2498833BOY
EOY-3268679EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38582098BOY
EOY37046885EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-709976ReconcilationRevenueExpenses
Reconcilation Other Changes-59870ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years120CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1130CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years155753CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53547CurrentTaxYearMinus1Year
Current Tax Year57780CurrentTaxYear
Total268330Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23489955CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25099967CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25237581CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26235721CurrentTaxYearMinus1Year
Current Tax Year27485076CurrentTaxYear
Total127548300Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23490075CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25101097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25393334CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26289268CurrentTaxYearMinus1Year
Current Tax Year27542856CurrentTaxYear
Total127816630Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509127816630PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years263952CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years174853CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years152649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55941CurrentTaxYearMinus1Year
Current Tax Year107188CurrentTaxYear
Total754583Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years263952CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years174853CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years152649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55941CurrentTaxYearMinus1Year
Current Tax Year107188CurrentTaxYear
Total754583Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years796700CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years919791CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years763655CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year644350CurrentTaxYearMinus1Year
Current Tax Year527664CurrentTaxYear
Total3652160Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24550727CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26195741CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26309638CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26989559CurrentTaxYearMinus1Year
Current Tax Year28177708CurrentTaxYear
Total132223373Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96670PublicSupportPercentage509
Prior Year Support Percentage0.96380PriorYearSupportPercentage
Investment Income Percentage0.00570InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00700PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance13192BeginningBalance
Additions During Year1234AdditionsDuringYear
Ending Balance14426EndingBalance
Included On FS0IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2486651InvestmentCostOrOtherBasis
Other Cost Or Other Basis2851303OtherCostOrOtherBasis
Book Value5337954BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis37554715OtherCostOrOtherBasis
Depreciation20686001Depreciation
Book Value16868714BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis423048OtherCostOrOtherBasis
Depreciation423048Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11854765OtherCostOrOtherBasis
Depreciation9627977Depreciation
Book Value2226788BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8753239OtherCostOrOtherBasis
Depreciation4154071Depreciation
Book Value4599168BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29032624TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS, NET581386
DEPOSITS149185
DEPOSITS FOR PURCHASE OF WATERMAN COVE98705
ADVANCES TO RELATED PARTY209568
ASSETS LIMITED IN USE2759651
LIFE LEASE ACQUISITION COST, NET106281
FieldValueIRS element (for citing)
Total Book Value Other Assets3904776TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OTHER CURRENT LIABILITIES$93,505
LONG-TERM LIABILITIES$346,841
FieldValueIRS element (for citing)
Total Of Amounts440346TotalOfAmounts
Total Revenue28156229TotalRevenue
Total Expenses28866205TotalExpenses
Excess Or Deficit For Year-709976ExcessOrDeficitForYear
Net Unrealized GL On Investments130NetUnrealizedGLOnInvestments
Other-$60,000OtherAmount
Total Adjustments-59870TotalAdjustments
Excess Or Deficit Per FS-769846ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt28096359TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments130NetUnrealizedGainsInvestments
Revenue Not Rptd F990130RevenueNotRptdF990
Revenue Subtotal28096229RevenueSubtotal
Other Revenues Not Included60000OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt60000RevenueNotRptdOnFinStmt
Total Revenue Per Form99028156229TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28866205TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal28866205ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028866205TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 1B:THE ORGANIZATION PROVIDES A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESIDENT, TO BE DISBURSED ONLY AS REQUESTED AND, ACCORDINGLY, THESE FUNDS ARE EXCLUDED FROM THESE FINANCIAL STATEMENTS. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS.
IMPAIRMENT CHARGE ON PROPERTY HELD FOR SALE -60,000.PART XI, LINE 8 - OTHER ADJUSTMENTS:
IMPAIRMENT CHARGE ON PROPERTY HELD FOR SALE 60,000.PART XII, LINE 4B - OTHER ADJUSTMENTS:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JEANNE DE PRADA
156210000000000156210000
ANDREW DUJON
154290000000025360156826000
DALE LIND
237087000000058000242887000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MOUNT DORA HEALTH FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
CUSIP Number621233DD4CUSIPNumber
Date Issued2004-09-15DateIssued
Issue Price14015000IssuePrice
Description Of PurposeSEE SUPPLEMENTAL INFORMATIONDescriptionOfPurpose
Defeased1Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds14218479TotalProceeds
Capitalized Interest28240CapitalizedInterest
Refunding Escrow13696794RefundingEscrow
Issuance Costs From Proceeds493445IssuanceCostsFromProceeds
Year Of Subst Completion2005YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K, PART I(F)PURPOSE OF SERIES 2004 BONDSIN SEPTEMBER 2004, THE VILLAGE ISSUED MOUNT DORA HEALTH FACILITIES AUTHORITY REFUNDING REVENUE BONDS, SERIES 2004, IN THE AMOUNT OF $14,015,000, TO FINANCE THE REDEMPTION OF THE SERIES B PORTION OF THE SERIES 1996 BOND ISSUE AND TO PAY A PORTION OF THE COST OF ISSUING THE SERIES 2004 BONDS. THE 2004 BONDS INCLUDE SERIES A AND SERIES B BONDS ISSUED IN THE PRINCIPAL AMOUNTS OF $10,515,000 AND $3,500,000, RESPECTIVELY.
SCHEDULE K, PART I(C)INFORMATION PERTAINING TO CUSIP OF 2004 SERIES BOND ISSUE:THE SERIES 2004A BOND ISSUE CONSISTS OF THE FOLLOWING: CUSIP NO. 621233CW3, $20,000 3.75% TERM BONDS DUE AUGUST 15, 2006 CUSIP NO. 621233CX1, $670,000 3.75% TERM BONDS DUE AUGUST 15, 2007 CUSIP NO. 621233CY9, $690,000 4.25% TERM BONDS DUE AUGUST 15, 2008 CUSIP NO. 621233CZ6, $720,000 4.50% TERM BONDS DUE AUGUST 15, 2009 CUSIP NO. 621233DA0, $755,000 4.75% TERM BONDS DUE AUGUST 15, 2010 CUSIP NO. 621233DB8, $2,500,000 5.25% TERM BONDS DUE AUGUST 15, 2013 CUSIP NO. 621233DC6, $5,160,000 5.75% TERM BONDS DUE AUGUST 15, 2018 THE SERIES 2004B BOND ISSUE CONSISTS OF THE FOLLOWING: CUSIP NO. 621233DD4, $3,500,000 5.00% TERM BONDS DUE AUGUST 15, 2021
SCHEDULE K, PART II, LINE 1ADDITIONAL INFORMATION RELATED TO BOND ISSUANCE:THE TOTAL PROCEEDS FOR SERIES 2004 BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E). THE DIFFERENCES ARE AS FOLLOWS; AN UNDERWRITERS DISCOUNT OF $157,475, A $116,410 TRANSFER FROM DEBT SERVICE FUND FOR THE REFUNDED BONDS AND ACCRUED INTEREST OF $28,249. IN ADDITION, THE DIFFERENCE INCLUDES A COMPANY CONTRIBUTION OF $216,295.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DUJON ELDERCARE SERVICES
ENTITY'S PRINCIPALS ARE RELATIVES OF THE CFO, ANDREW DUJON.50344CONSTRUCTION SERVICES0
HILLCREST INSURANCE
ENTITY IS OWNED BY BOARD MEMBER, KEVIN MCEWEN.1059214INSURANCE0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S CHIEF FINANCIAL OFFICER CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS.
THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER. THE CEO DETERMINES THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES. THE BOARD AND CEO ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING CONSIDERED. THE BOARD UTILIZES COMPARABILITY SURVEYS PROVIDED BY THE ORGANIZATION'S CPA FIRM. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN BOARD MEETING MINUTES.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
ALLOCATION OF HOURS WORKEDHOURS WORKED PER WEEK ARE ALLOCATED BETWEEN THE FILING ORGANIZATION AND RELATED ORGANIZATIONS AS FOLLOWS FOR THE INDIVIDUAL LISTED WITHIN PART VII: ANDREW DUJON - WATERMAN COMMUNITIES, INC. - 40 HRS WATERMAN COMMUNITIES FOUNDATION - 1 HR DALE LIND - WATERMAN COMMUNITIES, INC. - 40 HRS WATERMAN COMMUNITIES FOUNDATION - 1 HRFORM 990, PART VII, SECTION A, #1A, COLUMN (B)
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 130. IMPAIRMENT CHARGE ON PROPERTY HELD FOR SALE -60,000. TOTAL TO FORM 990, PART XI, LINE 5: -59,870.FORM 990, PART XI, LINE 5:
OVERSIGHT OF AUDITTHE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WATERMAN COMMUNITIES FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1250 BROOKFIELD AVENUEAddressLine1
CityMOUNT DORACity
StateFLState
ZIP Code32757ZIPCode
FieldValueIRS element (for citing)
EIN030386001EIN
Primary ActivitiesRAISES FUNDS FOR THE BENEFIT OF WATERMAN COMMUNITIES, INC.PrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11(A)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
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 Org0LoansOrGuaranteesFromOtherOrg
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 Org1OtherTransferFromOtherOrg

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