2012-08-14T11:54:40-05:00 2011-09-30 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2010-10-01 205096169 SEABURY AT HOME INCORPORATED SEAB 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 REV JEFFREY S DUGAN 8602860243 2012-08-14 1 ELIZABETH SOLECKI 8605614000 2010 2016-02-24 21:20:13Z REV JEFFREY S DUGAN 200 SEABURY DRIVE BLOOMFIELD CT 060022650 361686 0 X N/A X 2006 CT TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY. 10 10 0 0 0 0 0 0 172813 345089 756 1090 33175 15507 206744 361686 0 0 0 0 0 0 0 0 0 373789 672894 373789 672894 -167045 -311208 3263608 3938350 3812169 4798119 -548561 -859769 TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY. 0 0 539660 345089 TO PROVIDE, SPONSOR, INITIATE, DEVELOP, OPERATE AND MAINTAIN FACILITIES AND PROGRAMS FOR THE DELIVERY OF HEALTH CARE, PERSONAL CARE AND SUPPORT SERVICES TO THE ELDERLY DESIGNED TO PROMOTE AND EXTEND OPPORTUNITIES FOR INDEPENDENT LIVING AND PERSONAL HEALTH. 539660 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 X STEVEN YANOFSKY CHURCH HOME VP FIN 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 JAMES C ERVIN JR 0.30 X X 0 0 0 REV BORDEN W PAINTER JR 0.30 X X 0 0 0 RAYMOND PAYNE 0.30 X X 0 0 0 GUY CAMBRIA JR 0.30 X X 0 0 0 DR DONNA R GALLUZZO 0.30 X 0 0 0 DR H DAVID CROMBIE 0.30 X 0 0 0 REV JEFFREY S DUGAN 0.30 X X 0 0 0 WINIFRED GRANGER 0.30 X 0 0 0 DONALD F HARRIS JR 0.30 X 0 0 0 JOHN S MOBLEY 0.30 X 0 328829 36085 0 328829 36085 0 0 1 0 CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DR BLOOMFIELD CT 06002 CONTRACTED STAFFING 143525 1 HOME HEALTH SERV. FEES 621610 255852 255852 AMORT OF ENTRANCE FEES 621610 89237 89237 345089 1090 1090 MISCELLANOUES 900099 15507 15507 15507 361686 345089 0 16597 5675 5675 120396 120396 6164 3082 3082 3107 3107 29516 29516 3422 3422 CONTRACTED SERVICES 254578 254578 CHANGE IN FUTURE SERVIC 193412 193412 TAXES AND LICENSES 12185 12185 REPAIRS 11821 11821 MISCELLANEOUS 8964 8964 23654 19573 4081 672894 539660 133234 0 1565755 2538911 865583 466836 6766 3796 986876 58069 825504 928807 3263608 3938350 288 69836 3811881 4728283 3812169 4798119 X -548561 -859769 -548561 -859769 3263608 3938350 -311208 0 X 0 1 1 X 0 X 37005 172813 345089 554907 37005 172813 345089 554907 0 0 0 554907 836 756 1090 2682 836 756 1090 2682 1391 33175 15507 50073 39232 206744 361686 607662 0.91320 0.00440 X 315692 315692 496805 53511 443294 23241 4558 18683 151138 151138 928807 DEFERRED REVENUE FROM ENTRANCE FEES 2673037 FUTURE SERVICE OBLIGATION 252819 LOAN PAYABLE TO RELATED PARTY 1802427 4728283 361686 672894 -311208 0 -311208 361686 0 361686 0 361686 672894 0 672894 0 672894 X X X X X 0 0 0 0 0 0 0 0 0 JOHN S MOBLEY 0 328829 0 0 0 0 0 22522 0 13563 0 364914 0 0 FORM 990, PART VI, SECTION A, LINE 6 CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. FORM 990, PART VI, SECTION A, LINE 7A CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. AS MEMBERS, THEY ELECT THE BOARD OF DIRECTORS FOR SEABURY AT HOME INCORPORATED. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BYLAWS AND ARTICLES MUST BE APPROVED BY MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AFTER FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REVIEWING THE POLICY AT ORIENTATION AND AT MEETINGS THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15A JOHN MOBLEY IS COMPENSATED BY CHURCH HOME OF HARTFORD, INCORPORATED, THEREFORE, HIS COMPENSATION IS DETERMINED BY THE BOARD OF CHURCH HOME OF HARTFORD. COMPENSATION IS DETERMINED USING A REVIEW OF LIKE ORGANIZATIONS, 990 REPORT FOR TOP PAID EMPLOYEES, AND USE OF ASSOCIATON WAGE SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE DOCUMENTS ARE RETAINED IN SEABURY'S LIBRARY. CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 060293500 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY CT 501(C)3 509(A)(2) 0 SEABURY MEMORY CARE CENTER INC 200 SEABURY DRIVE BLOOMFIELD CT 06002 200158017 PROVIDE HOUSING AND HEALTH SERVICES TO ALZHEIMER'S PATIENTS CT 501(C)3 509(A)(2) 0 SEABURY CHARITABLE FOUNDATIONINC 200 SEABURY DRIVE BLOOMFIELD CT 06002 061458630 TO PROVIDE SUPPORT TO CHURCH HOME OF HARTFORD CT 501(C)3 509(A)(3) - TYPE I 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 1 0 0 0