2012-11-09T13:24:22-06:00 2011-12-31 454051133 FREED MAXICK CPAS PC 800 LIBERTY BLDG 420 MAIN ST BUFFALO NY 142023508 990 2011-01-01 161584941 ORCHARD PARK CCRC INC ORCH 7166625001 ONE FOX RUN LANE ORCHARD PARK NY 14127 MICHAEL J MALONEY 7166625001 2012-11-07 1 MARY MADONIA P00405803 7168472651 2011 2016-02-24 21:20:13Z FOX RUN AT ORCHARD PARK INC MICHAEL J MALONEY ONE FOX RUN LANE ORCHARD PARK NY 14127 12352990 0 X WWW.FOXRUNORCHARDPARK.COM X 2002 NY CONSISTENT WITH GOD'S LOVE, FOX RUN AT ORCHARD PARK OFFERS AN EXCEPTIONAL LIVING OPTION WHERE SENIORS MAY AGE WITH GRACE AND DIGNITY. WE ARE COMMITTED TO PROVIDING A LIFECARE ENVIRONMENT WHERE OUR RESIDENTS ENJOY SECURITY AND PEACE OF MIND WITHIN A COMMUNITY OF CARING PEOPLE. 10 10 246 25 0 0 100000 0 10975029 12293480 132920 59510 0 0 11207949 12352990 0 0 0 0 4884539 5327707 0 0 0 9357548 8834800 14242087 14162507 -3034138 -1809517 75605377 70370380 90490997 87821060 -14885620 -17450680 X CONSISTENT WITH GOD'S LOVE, FOX RUN AT ORCHARD PARK OFFERS AN EXCEPTIONAL LIVING OPTION WHERE SENIORS MAY AGE WITH GRACE AND DIGNITY. WE ARE COMMITTED TO PROVIDING A LIFECARE ENVIRONMENT WHERE OUR RESIDENTS ENJOY SECURITY AND PEACE OF MIND WITHIN A COMMUNITY OF CARING PEOPLE. 0 0 12517078 12293480 OPERATED A CONTINUING CARE RETIREMENT COMMUNITY LOCATED IN ORCHARD PARK, NEW YORK. THE COMMUNITY CONSISTS OF 180 INDEPENDENT LIVING UNITS, A 34 UNIT ASSISTED LIVING FACILITY, AN 18 UNIT MEMORY CARE FACILITY AND A 50 BED SKILLED NURSING FACILITY, ALL LOCATED IN A CAMPUS ENVIRONMENT. 12517078 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 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 0 0 1 0 0 0 0 1 26 0 246 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X WILLIAM WLODARCZYK 7166625001 ONE FOX RUN LANE ORCHARD PARK NY 14127 DAVID DONNER 2.00 X X 0 0 0 JUDY BERGES 2.00 X X 0 0 0 DAVID J BLESY 2.00 X X 0 0 0 JEFFERY KEMP 2.00 X 0 0 0 JOHN BOS 2.00 X 0 0 0 DANIEL NEWCOMB 2.00 X X 0 0 0 MELINDA DISARE 2.00 X 0 0 0 DON HAYES 2.00 X 0 0 0 RICHARD HOLMES 2.00 X 0 0 0 JILL ORTNER 2.00 X 0 0 0 MICHAEL MALONEY 40.00 X 124592 0 0 WILLIAM WLODARCZAK 40.00 X 93767 0 0 RICHARD HIGGINS 40.00 X 111538 0 0 329897 0 0 2 0 0 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 DINING SERVICES MANAGEMENT 424574 1 NET RESIDENT SERVICE R 623000 11223248 11223248 EARNED ENTRANCE FEES 623000 1070232 1070232 12293480 59510 59510 12352990 12293480 0 59510 218359 109179 109180 4265153 3569015 696138 481534 399355 82179 362661 304824 57837 114211 114211 164263 164263 28280 28280 678567 619628 58939 201962 201962 56151 28347 27804 35575 20392 15183 9269 2056 7213 1182175 1182175 15600 15600 4179978 4179978 306773 302916 3857 UTILITIES 523301 523301 FOOD 482059 482059 REAL ESTATE TAXES 461817 461817 SUPPLIES 237004 234431 2573 157815 97605 60210 14162507 12517078 1645429 0 287750 3948753 1182724 852111 340982 320906 67069876 9187958 59974792 57881918 13819129 7366692 75605377 70370380 901013 910397 6639758 6439656 52211868 44033307 30738358 36437700 90490997 87821060 X -14885620 -17450680 -14885620 -17450680 75605377 70370380 X -1809517 -755543 X X 0 1 1 X 0 X 100000 100000 260938 5279738 9617186 10975029 12293480 38426371 260938 5279738 9617186 11075029 12293480 38526371 100000 100000 0 100000 100000 38426371 105085 776012 152786 132920 59510 1226313 105085 776012 152786 132920 59510 1226313 366023 6055750 9769972 11207949 12352990 39752684 0.96660 0.95370 0.03080 0.04260 X 1839000 1839000 58661846 7332911 51328935 4190229 1214175 2976054 2378801 640872 1737929 57881918 ASSETS LIMITED AS TO USE 3916627 DEFERRED FINANCING COSTS, NET 1249561 COSTS OF ACQUIRING INTIAL CONTINUING CARE CONTRACTS, NET 2200504 7366692 DEVELOPMENT FEE PAYABLE 1233500 DEPOSITS FROM PROSPECTIVE RESIDENTS 403956 REFUNDABLE ADVANCE FEES 34800244 36437700 12352990 14162507 -1809517 403 -755946 -755543 -2565060 12353393 403 403 12352990 0 12352990 14918453 755946 755946 14162507 0 14162507 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE TAX YEARS 2008-2010 GENERALLY REMAIN OPEN TO EXAMINATION IN TAXING JURISDICTIONS IN WHICH THE ORGANIZATION IS SUBJECT TO FILING REQUIREMENTS OF THOSE JURISDICTIONS. PART XI, LINE 8 - OTHER ADJUSTMENTS: WRITE-OFF OF DEFERRED FINANCING COSTS -755,946. PART XIII, LINE 2D - OTHER ADJUSTMENTS: WRITE-OFF OF DEFERRED FINANCING COSTS 755,946. ERIE COUNTY INDUSTRIAL DEVELOPMENT AGENCY-2006A 29509RAF2 2006-04-27 44235000 TO OBTAIN REVENUE TO FINANCE CONSTRUCTION OF THE ORGANIZATION'S FACILITIES 0 0 0 ERIE COUNTY INDUSTRIAL DEVELOPMENT AGENCY-2006B 29509RAG0 2006-04-27 33600000 TO OBTAIN REVENUE TO FINANCE CONSTRUCTION OF THE ORGANIZATION'S FACILITIES 0 0 0 45540835 466888 45073947 2007 0 0 0 1 33600000 33600000 354640 33245360 2007 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAD A MANAGEMENT AGREEMENT WITH NEW LIFE MANAGEMENT, INC. FOR CERTAIN MANAGEMENT AND FINANCIAL SERVICES. THIS AGREEMENT TERMINATED FEBRUARY 27, 2011. FORM 990, PART VI, SECTION A, LINE 6 THE UNITED CHURCH HOME SOCIETY, INC IS THE SOLE MEMBER OF ORCHARD PARK CCRC, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY INDEPENDENT ACCOUNTANTS. A DRAFT IS THEN REVIEWED AND APPROVED BY THE CFO AND THE EXECUTIVE DIRECTOR AND IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW. A BOARD VOTE IS TAKEN TO APPROVE THE DRAFT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR AND MANAGEMENT EMPLOYEE IS REQUIRED TO DISCLOSE ON AN ANNUAL BASIS, MATERIAL INTERESTS OR AFFILIATIONS THAT COULD POTENTIALLY CONFLICT WITH HIS OR HER DUTIES AS AN OFFICER, DIRECTOR OR MANAGEMENT EMPLOYEE OF THE ORGANIZATION AND TO DISCLOSE ANY SUCH INTERESTS OR AFFILIATIONS AT THE POINT A POTENTIAL CONFLICT OF INTEREST ARISES. THESE STATEMENTS ARE KEPT ON FILE WITH THE ORGANIZATION'S COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS IN PLACE A PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO AND TOP MANAGEMENT OFFICIALS WHICH INCLUDES A REVIEW AND APPROVAL PROCESS AND THE COMPARISON OF COMPENSATION OF SIMILIAR POSITIONS IN THE REGION. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 403. WRITE-OFF OF DEFERRED FINANCING COSTS -755,946. TOTAL TO FORM 990, PART XI, LINE 5: -755,543. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S PROCESS FOR MONITORING THE AUDIT AND FOR THE SELECTION OF AN IDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. UNITED CHURCH HOME SOCIETY INC ONE FOX RUN LANE ORCHARD PARK NY 14127 161157086 EXPRESSING GOD'S LOVE IN HUMAN CARE BY OFFERING HOUSING AND RELATED SERVICES NY 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0